Publications by authors named "Azza M A M Abul-Fadl"

2 Publications

  • Page 1 of 1

Trends in Deaths from Rheumatic Heart Disease in the Eastern Mediterranean Region: Burden and Challenges.

J Cardiovasc Dev Dis 2018 May 30;5(2). Epub 2018 May 30.

Department of Psychology, American University in Cairo, Fifth settlement, Cairo 11835, Egypt.

Rheumatic heart disease (RHD) is a preventable disease that is prevalent in developing regions of the world. Its eradication from most of the developed world indicates that this disease can be controlled and eliminated. To conduct an in-depth analysis of the trends and challenges of controlling RHD in the Eastern Mediterranean region (EMR). Global data from the World Health Organization (WHO) data banks were retrieved for total deaths and age standardized death rate per 100,000 (ASDR) by age group, sex, and year (from 2000 to 2015). The data was compared with the five other WHO regions of the world. We also performed in-depth analysis by socio-economic groups in relation to other attributes in the region related to population growth, illiteracy, and nutritional status. Indicators of service delivery were correlated with ASDR from RHD. Prevalence of RHD in 2015 in the EMR region was one-third of that of the total deaths reported in the Asian and West Pacific regions. The total deaths for the region peaked twice: in early adulthood and again later in old age, and was higher in females than in males. There was a rising trend in deaths from RHD from 2000 to 2015. The highest total deaths were reported from Egypt, Pakistan, Iran, Afghanistan, and Yemen, representing 80% of the total death rates for the region (35,248). The highest ASDR was Afghanistan (27.5), followed by Yemen (18.78) and Egypt (15.59). The ASDR for RHD was highest in low income countries. It correlated highly, in all income groups, with anemia during pregnancy. Trends and patterns of deaths from RHD in the EMR have shifted to a later age group and are linked with poverty related to inequalities in development and service delivery for certain age groups and gender.
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May 2018

Evaluation of mothers' knowledge, attitudes, and practice towards the ten steps to successful breastfeeding in Egypt.

Breastfeed Med 2012 Jun;7(3):173-8

Department of Pediatrics, Benha Faculty of Medicine, Benha University, Kaluibiya, Egypt.

Background: Despite the proven effectiveness of the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative (BFHI), its impact on community practices in Egypt has yet to be assessed. The aim of this investigation was to evaluate the knowledge, attitudes, and practice (KAP) of Egyptian mothers towards the Ten Steps. We interviewed 1,052 breastfeeding mothers with infants less than 24 months of age from 12 governorates representing Upper Egypt (UE) and Lower Egypt (LE).

Results: Marked regional variations are noted in the KAP of the samples from UE and LE. These differences can be explained to some extent by socioeconomic factors. Hospital delivery, lower parity, and a higher level of education were characteristic of mothers in LE compared with UE. More mothers in UE did not know about the protective effects of breastfeeding to the mother. In LE, 75% delayed breastfeeding initiation until after the first hour compared with 61% in UE, with the mothers reporting that they did not experience skin-to-skin care in the first hours after birth. Nipple pain was given as a cause for supplementation in 56% of mothers in UE and 36% in LE (p<0.001). Maintaining milk by expression is practiced by 42.8% of mothers in LE and 12% in UE. Two-thirds of the mothers in both UE and LE offer herbal drinks, and one-third feed infant milk formula before 6 months. Offering pacifiers is more common in LE, and feeding by bottle is more common in UE, being pressured by the mother's social network.

Conclusions: To increase the impact of BFHI on community breastfeeding practices, BFHI should focus on involving the family members with the mother throughout the implementation of the Ten Steps while encouraging maternal support groups and taking cultural differences into account.
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June 2012