Browsing by Author "Marete, Onesmus"

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    PublicationOpen Access
    Environmental and Nutritional Determinants of Diarrhoea Disease Among Children Under Five Years in Rwanda: A Secondary Data Analysis of the Rwanda Demographic and Health Survey 2014-15
    (Rwanda Journal of Medicine and Health Sciences, 2020-12-30) Ishimwe, Christian J.; Rutayisire, Erigene; Marete, Onesmus
    Background Diarrhoea remains one of the leading of causes of deaths in children under five years old globally. Children under five years are more vulnerable to diarrhea especially those from low and middle countries. The aim of this study was to explore the environmental and nuttitional factors associated with diarrhea among children underfive years in Rwanda. Methods A secondary data analysis of the Rwanda Demographic and Heralth Survey 2014-2015 (RDHS 2014-2015) was used. A total sample of 7,558 children under five years old was included. The data were analysed using Stata 13. Bivariate with Chi-square test and multivariable logistic regression analysis were performed to assess the relashionship of factors associsted with diarreha. A 95% confidence interval and a significance level of 0.05 were set. Results Two environmental factors (Source of drinking water and shared toilets facilities with other households) were associated with child diarrhea. Pvalues: 0.029, OR:1.79, CI [1.06-3.01]; 0.019, OR:1.26, CI: [1.04-1.53] respectively. None of the selected nutritional factors was associated with childhood diarrhea. Conclusion Based on the findings, drinking borehole water and shared toilet facilities were associated with diarrhea. The study therefore recommends the provision of potable water and supporting/enabling the households to own toilets.
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    PublicationOpen Access
    Health care services satisfaction and associated factors among people living with HIV/AIDS at Kibuye referral hospital, Rwanda
    (International Journal of Community Medicine and Public Health, 2021-11) Abdou, Nizeyimana; Habtu, Michael; Marete, Onesmus; Mochama, Monica; Rutayisire, Erigene; Dida, Gabriel O.
    Background:Patient satisfaction surveys have gained great attention as meaningful parameters for evaluating quality improvement in healthcare organizations. At Kibuye referral hospital, healthcareutilization and health care services for people living with HIV/AIDS (PLWHA) has been low, as attested by poor adherence to medication and weakening of patients due the disease progression. The main objective of this study was to assess healthcare services satisfaction and associated factors among people living with HIV/AIDS Kibuye referral hospital, Rwanda. Methods:An institutional-based cross-sectional design was used to select 277 study participants who were interviewed by use of a structured questionnaire, and the data analyzed quantitatively. Two focus group discussions were performed, after which the interviews were transcribed in verbatim and analyzed thematically. Results: The overall level of PLWHA satisfaction was 95.0%. In multivariate analysis, social class and age were found to be the main predictors of PLWHA satisfaction (AOR=10.218, 95% CI=1.39, 74.88, p=0.002) and (AOR=0.39, CI=0.121 to 1.186, p=0.005), respectively. Qualitative study outcome showed that health care service delivery at Kibuye referral hospital is measured by a number of factors, includingtimeliness of health care service delivery, meeting needs of clients and paying attention in provision of health care services.Conclusions:The level of patient satisfaction was found to be high. When individual was of high-class status in the society, and were above 20 years of age, his or her satisfaction increased. The study recommends that PLWAs are treated equally so as to improve service delivery, particularly among people living HIV/AIDS.
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    PublicationOpen Access
    Prevalence and Risk Factors Associated with Relapse of Drug Abuse among Youths at Huye Isange Rehabilitation Center, Rwanda
    (Global Scentific Journal, 2022-01) Uwera, Faina Fota; Habineza, Alphonse; Marete, Onesmus
    Globally, in 2016, the number of people who used drugs rose by 30 per cent than it was reported in 2009 according to the UN Office on Drugs and Crime report. In Rwanda, a 2018 mental health survey revealed that about 1.6% of the youth suffer from drug and alcohol-related disorders, and that nearly 10% of rehabilitated drug users experience relapse. The objective of this study was to determine the prevalence of relapse on drug abuse and the risk factors associated with it among Rwandan youths at Huye Isange rehabilitation center. A logistic regression analysis showed that age group onset to drug abuse of < = 25 were 12.1 times higher risk of developing relapse with as strong association of a p-value (0.03), (OR=12.1), 95% CI [0.703-208.31]. As conclusion, the study found that at Huye Isange Rehabilitation Center the prevalence of relapse is high whereby factors such as group age onset, student by occupation, peer pressure and to cope with family/home problems were contributing to relapse of drug abuse and effort should be made while including drug abuse related courses in the curriculum for students of all levels, also enforcement in the clubs related occupation to prevent drug abuse in youth should be encouraged especially among younger people in order to decrease peer pressure that may result to drug abuse behaviors and relapse.