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ABSTRACT: This study was done to explore the effect of women`s group counseling on knowledge, attitude and practice of their husbands concerning family planning in Zahedan in 2002. A quasi-experimental study (before and after) was carried out. Forty-four married women with two or more children who had not used contraceptive methods were non-randomly selected from three Health Centers. Before intervention, women and their husbands were interviewed to complete a questionnaire to determine their educational needs, then the women attend three sessions in 5 8-9 member groups. One month after intervention they were asked to complete the same questionnaire and a check list was filled. The mean score, Standard Deviation (SD), paired t-test, Mc-nemar and Chi-square were used for analysis. The finding showed significant difference between the mean scores of knowledge (p<0.001) and attitude (p<0.001) of both of women and their husbands before and after intervention. Moreover, 43% of the couples used one of the modern contraceptive methods after intervention (p<0.00001). Statistic paired t-test with p<0.001 showed that the difference between the knowledge and attitude scores before and after the intervention is significant. Moreover, 43% of the couples used one of the methods after intervention (p<0.00001). According to the results, wives` counseling is recommended to enhance men involvement and to improve family planning programs.
Journal of Medical Sciences. 01/2006;
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ABSTRACT: Crimean-Congo Hemorrhagic Fever (CCHF) is a tick-borne disease caused by the arbovirus which is a member of the Nairovirus genus and has a high mortality rate if the patients don`t take treatment. This study was conducted to detect the clinical outcomes of treatment with oral ribavirin in children with CCHF. In this study, we evaluated the recovery rate and mortality rate among children with confirmed CCHF, who were treated with oral ribaririn within the three days of onset of disease and the patients who were treated after this time or had not been treated. Out of 29 children with Crimean-Congo hemorrhagic fever (18 Male, 11 Female with age range 5 to 17 years) 25 patients had been treated by oral ribavirin within the initial three days, two patients were treated after three days of the onset of disease and two cases had not been treated with ribavin. Nearly all the patients except two children were treated with ribavirin. Both these two children not treated with ribavirin died. One patients who was treated six days after the onset of disease was expired. Sixteen percent of children who were treated during the initial 72 h of disease died. Fatality rate was 24.1% in all of the patients. The recovery rate was higher in the children who were treated during the initial 3 days than children who were treated after this time or were not treated (84 versus 25%). We conclude that oral ribavirin is an effective treatment for children with CCHF, especially when it is used within 72 h of the onset of disease and as soon as it is possible.
Pakistan Journal of Biological Sciences. 01/2006;
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ABSTRACT: This study aimed to assess the effects of a training program on teaching behaviour of CHWs in malaria education. In 2003, a quasi-experimental study was conducted in rural areas of Sistan va Baluchistan province, Iran. Each of the intervention group and the control group consisted of 32 CHWs (Behvarzes). Their teaching behaviours prior to the intervention were assessed using a designed checklist and the direct observation of actual conduct of a malaria education session. A training program was designed to improve teaching behaviours of CHWs in rural Iran. The intervention group was followed up twice at three and six months after the intervention. The control group was followed up once after three months. There was a statistically significant improvement of teaching behaviours among the intervention group at both follow-ups. There was also a statistically significant difference of teaching behaviour between the intervention group and the control group at three-month follow-up. The teacher-centred learning behaviours showed more improvement than learner-centred teaching behaviour. It is recommended that the education program for CHWs be reinforced with subjects to improve the quality of community education.
Journal of Medical Sciences. 01/2005;
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ABSTRACT: In this study shorter duration of antirelapse therapy was compared to that of 8 weeks regimen. In 1998 and 1999 antirelapse therapy of vivax in Sistan and Baluchestan province in southeast of Iran was done with different regimens according to manpower and executive facilities. A cohort study was compared clinically and parasitological relapse of vivax malaria in 200 patients with one-week therapy, 200 patients with 2 weeks, 800 patients with 4 weeks and 500 patients with 8 weeks therapy by primaquine. Relapse rates of vivax malaria by each regimen were 23.8, 13.2, 5.4 and 4.6%, respectively. Relative risk of relapse in comparison with 8 weeks regimen was 5.2, 2.9 and 1.2, respectively. Number Need to Harm (NNH) was 5, 12 and 125. Interval of the first relapse varied between 6 to 52 weeks with the mean of 28.8 weeks (CI 95%: 24.2-33.1). The relapse rate was not different between men and women. The relapse rate by 4 and 8 weeks regimes were low and there was not significant difference of relapse rate in 4 and 8 weeks regimes. It is recommended to use 4 weeks therapy instead of 8 weeks therapy in special situations.
Journal of Medical Sciences. 01/2005;
