Browsing by Author "Ndayisenga, J."

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Factors associated with neonatal sepsis among neonates admitted in Kibungo Referral Hospital, Rwanda
    (Scientific Reports, 2024) Niyoyita, J. C.; Ndayisenga, J.; Omolo, J.; Niyompano, H.; Bimenyimana, P. C.; Dzinamarira, T.
    More than one million neonatal deaths occur every year worldwide, of which 99% take place in low-income countries. In Rwanda, nearly 71% of neonatal deaths are preventable and among these, 10% are due to neonatal sepsis. Nevertheless, limited information exists on neonatal sepsis and its associated factors in Rwanda. The objectives of the study were to find prevalence and factors associated with neonatal sepsis among neonates admitted in Kibungo Referral Hospital, Ngoma District, Rwanda. We used a retrospective cross-sectional study design reviewing a subset of neonatal, maternal and laboratory records from Kibungo Hospital in 2017. Data were reviewed and collected from March to May, 2018. Logistic regression and odds ratios were calculated to identify the factors associated with neonatal sepsis at 95% CI, p < 0.05. Of the 972 total neonates' medical records from 2017, we randomly selected 422 of which 12.8% (n = 54) had neonatal sepsis. When blood cultures were positive, 62% grew Klebsiella pneumoniae. Among neonates with sepsis, 38 (70%) recovered while 16 (30%) died. Neonatal sepsis was strongly associated with neonatal age less than or equal to three days (aOR: 2.769, 95% CI 1.312-5.843; p = 0.008); and gestational age less than 37 weeks (aOR: 4.149; CI 1.1878-9.167; p ≤ 0.001). Increased use of blood cultures including sensitivity testing, routine surface cultures of the neonatology and maternity wards facilities, and systematic ward cleaning are all important approaches to prevent and treat neonatal infections in additional to regular neonatal sepsis evaluations.
  • No Thumbnail Available
    Item
    Perceptions on Drug Use and Behavioural Change Approach: Kanyanga in Rwanda
    (East African Journal of Health and Science, 2023) Bimenyimana, P. C.; Bikorimana, G.; Josiane, U. K. N.; Ndayisenga, J.; Bugingo, J. P.
    The newspapers and media as well as scientific papers reveal that alcohol and illicit drug abuse is of major concern in rural and urban areas of Rwanda. Especially in the areas nearing the borders of the country, the illicit gin known as Kanyanga is being consumed. The government of Rwanda has tried to take various measures to stop its use but seems to need more efforts because the local population has not stopped its use, and its smugglers and users increase day to day. The use of Kanyanga was found to bring some consequences that can even lead to death. With this background, the research was conducted to investigate people�s perceptions of its use and how a behavioural approach can be used to change them. To achieve the objective of the paper, a quantitative exploratory study was conducted where data were collected via an online survey, and respondents were citizens of Rwanda from six districts of the northern part where the gin is common. The data analysis was done through visualisation and explained using the prospect theory. The findings have shown that what people expect to get from the use of Kanyanga is the opposite of what they get from it because of bad consequences including death, poverty, and domestic conflicts. From these findings, the paper recommended counselling services along with nudging a behavioural perspective to deal sustainably with this illicit gin