Mutinke Zulu - Academia.edu (original) (raw)
Papers by Mutinke Zulu
Safety and Health at Work, 2018
Objective: This study explored personal protective equipment (PPE) availability and PPE utilizati... more Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.
PubMed, 2023
Introduction: the World Health Organization (WHO) declared COVID-19 a pandemic in January 2020, w... more Introduction: the World Health Organization (WHO) declared COVID-19 a pandemic in January 2020, which has spread to many countries, including Zambia. Zambia has had challenges in providing personal protective equipment (PPEs) to nurses and midwives. The study's objective was to assess the availability and accessibility of PPEs among nurses and midwives caring for women in the general hospitals in Lusaka, Zambia. Methods: a cross-sectional analytical study design was conducted at five general hospitals in Lusaka on 162 nurses and midwives between February and April 2021, selected by purposive sampling of study sites and simple random sampling to select the participants. Data was collected using a semi-structured self-administered questionnaire and analyzed in STATA version 13. Chi-square and Fisher's exact test were used to test associations between the independent variables and the outcome, and a multivariable logistic regression was used to investigate the predictors of accessing PPEs. Results: out of the 162 who participated in the study, 48.8% were nurses, while 51.2% were midwives. Only 10% (16/160) of the participants reported having enough PPEs at work. Age, marital status, PPE use, employment duration, and protection confidence were associated with accessibility (P<0.05). Conclusion: overall, there was an inadequate provision of PPEs in the health facilities putting the nurses and midwives at a high risk of acquiring COVID-19. Policymakers need a deliberate move to make the availability and accessibility of PPEs a reality during the pandemic.
Malaria is endemic in Zambia and is more common among pregnant mothers and under-five-year-old ch... more Malaria is endemic in Zambia and is more common among pregnant mothers and under-five-year-old children. Long lasting insecticide treated mosquito nets are effective against malaria among other measures. However, over the years, data has shown low utilisation of insecticide treated mosquito nets among pregnant women and children under-five. This study investigated the utilisation of long lasting insecticide treated mosquito nets among pregnant mothers and their under-five-children in Lusaka urban. A cross section descriptive study was conducted in Matero, Chainda, Mandevu and Chipata compounds of Lusaka District. A total of 420 pregnant mothers with under-five children were sampled. A semi-structured interview schedule was used to collect data. Data was analysed using SPSS version 22. Logistic regression analysis was done to assess the significance of the association among factors influencing use of long-lasting insecticide treated mosquito nets with the confidence interval of 95%. ...
African journal of midwifery and women's health, 2020
Quality midwifery education is important in empowering student midwives with the confidence, know... more Quality midwifery education is important in empowering student midwives with the confidence, knowledge, skills and attitudes relevant to the provision of quality postnatal care. The study aimed to assess confidence in providing postnatal care among midwifery students upon completion of training at selected midwifery schools in Zambia. A cross-sectional survey was conducted in November 2016 at 5 of the 13 midwifery schools in Zambia. The sample comprised 194 finalist midwifery students who were purposively selected. Ethical approval was sort from the University of Zambia Research and Ethics Committee and participants signed informed consent forms. A self-administered questionnaire was used for data collection. Data were analysed using SPSS version 20, and the chi-squared test was used to analyse the significance of the relationship between variables, with significance set at 0.05. Almost all (97%) student midwives were confident in their ability to provide postnatal care independentl...
Background: Many mothers and their babies do not receive the recommended immediate Postnatal Care... more Background: Many mothers and their babies do not receive the recommended immediate Postnatal Care. This results in dissatisfaction among mothers and increased neonatal and maternal mortality. At Ndola Central Hospital, mothers complain of poor care. Between January 2011 and December 2013, a total of 265 and 47 cases of neonatal and maternal mortality were recorded. The objective of this study was to determine the mothers' satisfaction with the immediate Postnatal Care provided at Ndola Central Hospital. Methods: This was a hospital-based cross-sectional study comprising of 202 purposively selected mothers in the immediate postnatal period. A structured interview schedule was used for data collection. It had six satisfaction subscales namely; information, communication, care and comfort, value and preferences, orientation and care specific to postnatal on a five-point Likert scale. It also had 11 socio-demographic and obstetric characteristics. Mothers were interviewed one at a time. Stata version 10.0 was used for data analysis. Spearman's correlation coefficient (r) was applied to investigate the association between variables. Linear regression modelling was done to test the significance of the association. Results: Only 26.2% of the mothers were fully satisfied with the immediate Postnatal Care. Most mothers were not satisfied with the information they received. The mothers' employment status and the baby's condition at birth had statistically significant association with satisfaction. Conclusion: Mothers were not fully satisfied with the Care. Periodic evaluation of the Postnatal Care must be done in order to improve the quality of care delivered, reduce neonatal and maternal mortality and satisfy the mothers.
Background: COVID-19 emerged from Wuhan city, Hubei province of China and was declared a pandemic... more Background: COVID-19 emerged from Wuhan city, Hubei province of China and was declared a pandemic by the World Health Organization in January, 2020. Pregnant women have not been spared from this pandemic thereby putting at risk the nurses and midwives who take care of such women considering the close proximity of care especially during delivery. At the heart of the pandemic, fear is heightened among nurses as frontline workers due to unavailability of personal protective equipment. This study aims to assess the availability and accessibility of personal protective equipment and fears of acquiring COVID-19 among nurses and midwives attending to women at the Women and New Born Hospital and First Level Hospitals, in Lusaka, Zambia. Methodology: Nurses and midwives (n = 384) attending to women in maternity wards at the Women and Newborn Hospital and five (5) first level health facilities in Lusaka, Zambia will answer a monkey survey whose link will be sent via a WhatsApp group. They wil...
Globally, it is estimated that 15 million babies are born premature and low birth weight (LBW) ev... more Globally, it is estimated that 15 million babies are born premature and low birth weight (LBW) every year [1]. Premature and LBW infants are at an increased risk of morbidity and mortality, [2]. They are also prone to complications such as inhibited growth and development, chronic disease and lifelong disability [3]. Complications of preterm and LBW are the leading causes of death among children under the age of 5 years accounting for nearly 1 million deaths globally [4]. In Zambia, the neonatal mortality rate is 24 per 1000 live births and the majority of these neonatal deaths are equally attributed to complications of prematurity and LBW including sepsis and asphyxia Vancouver.
Safety and Health at Work, 2018
Objective: This study explored personal protective equipment (PPE) availability and PPE utilizati... more Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.
PubMed, 2023
Introduction: the World Health Organization (WHO) declared COVID-19 a pandemic in January 2020, w... more Introduction: the World Health Organization (WHO) declared COVID-19 a pandemic in January 2020, which has spread to many countries, including Zambia. Zambia has had challenges in providing personal protective equipment (PPEs) to nurses and midwives. The study's objective was to assess the availability and accessibility of PPEs among nurses and midwives caring for women in the general hospitals in Lusaka, Zambia. Methods: a cross-sectional analytical study design was conducted at five general hospitals in Lusaka on 162 nurses and midwives between February and April 2021, selected by purposive sampling of study sites and simple random sampling to select the participants. Data was collected using a semi-structured self-administered questionnaire and analyzed in STATA version 13. Chi-square and Fisher's exact test were used to test associations between the independent variables and the outcome, and a multivariable logistic regression was used to investigate the predictors of accessing PPEs. Results: out of the 162 who participated in the study, 48.8% were nurses, while 51.2% were midwives. Only 10% (16/160) of the participants reported having enough PPEs at work. Age, marital status, PPE use, employment duration, and protection confidence were associated with accessibility (P<0.05). Conclusion: overall, there was an inadequate provision of PPEs in the health facilities putting the nurses and midwives at a high risk of acquiring COVID-19. Policymakers need a deliberate move to make the availability and accessibility of PPEs a reality during the pandemic.
Malaria is endemic in Zambia and is more common among pregnant mothers and under-five-year-old ch... more Malaria is endemic in Zambia and is more common among pregnant mothers and under-five-year-old children. Long lasting insecticide treated mosquito nets are effective against malaria among other measures. However, over the years, data has shown low utilisation of insecticide treated mosquito nets among pregnant women and children under-five. This study investigated the utilisation of long lasting insecticide treated mosquito nets among pregnant mothers and their under-five-children in Lusaka urban. A cross section descriptive study was conducted in Matero, Chainda, Mandevu and Chipata compounds of Lusaka District. A total of 420 pregnant mothers with under-five children were sampled. A semi-structured interview schedule was used to collect data. Data was analysed using SPSS version 22. Logistic regression analysis was done to assess the significance of the association among factors influencing use of long-lasting insecticide treated mosquito nets with the confidence interval of 95%. ...
African journal of midwifery and women's health, 2020
Quality midwifery education is important in empowering student midwives with the confidence, know... more Quality midwifery education is important in empowering student midwives with the confidence, knowledge, skills and attitudes relevant to the provision of quality postnatal care. The study aimed to assess confidence in providing postnatal care among midwifery students upon completion of training at selected midwifery schools in Zambia. A cross-sectional survey was conducted in November 2016 at 5 of the 13 midwifery schools in Zambia. The sample comprised 194 finalist midwifery students who were purposively selected. Ethical approval was sort from the University of Zambia Research and Ethics Committee and participants signed informed consent forms. A self-administered questionnaire was used for data collection. Data were analysed using SPSS version 20, and the chi-squared test was used to analyse the significance of the relationship between variables, with significance set at 0.05. Almost all (97%) student midwives were confident in their ability to provide postnatal care independentl...
Background: Many mothers and their babies do not receive the recommended immediate Postnatal Care... more Background: Many mothers and their babies do not receive the recommended immediate Postnatal Care. This results in dissatisfaction among mothers and increased neonatal and maternal mortality. At Ndola Central Hospital, mothers complain of poor care. Between January 2011 and December 2013, a total of 265 and 47 cases of neonatal and maternal mortality were recorded. The objective of this study was to determine the mothers' satisfaction with the immediate Postnatal Care provided at Ndola Central Hospital. Methods: This was a hospital-based cross-sectional study comprising of 202 purposively selected mothers in the immediate postnatal period. A structured interview schedule was used for data collection. It had six satisfaction subscales namely; information, communication, care and comfort, value and preferences, orientation and care specific to postnatal on a five-point Likert scale. It also had 11 socio-demographic and obstetric characteristics. Mothers were interviewed one at a time. Stata version 10.0 was used for data analysis. Spearman's correlation coefficient (r) was applied to investigate the association between variables. Linear regression modelling was done to test the significance of the association. Results: Only 26.2% of the mothers were fully satisfied with the immediate Postnatal Care. Most mothers were not satisfied with the information they received. The mothers' employment status and the baby's condition at birth had statistically significant association with satisfaction. Conclusion: Mothers were not fully satisfied with the Care. Periodic evaluation of the Postnatal Care must be done in order to improve the quality of care delivered, reduce neonatal and maternal mortality and satisfy the mothers.
Background: COVID-19 emerged from Wuhan city, Hubei province of China and was declared a pandemic... more Background: COVID-19 emerged from Wuhan city, Hubei province of China and was declared a pandemic by the World Health Organization in January, 2020. Pregnant women have not been spared from this pandemic thereby putting at risk the nurses and midwives who take care of such women considering the close proximity of care especially during delivery. At the heart of the pandemic, fear is heightened among nurses as frontline workers due to unavailability of personal protective equipment. This study aims to assess the availability and accessibility of personal protective equipment and fears of acquiring COVID-19 among nurses and midwives attending to women at the Women and New Born Hospital and First Level Hospitals, in Lusaka, Zambia. Methodology: Nurses and midwives (n = 384) attending to women in maternity wards at the Women and Newborn Hospital and five (5) first level health facilities in Lusaka, Zambia will answer a monkey survey whose link will be sent via a WhatsApp group. They wil...
Globally, it is estimated that 15 million babies are born premature and low birth weight (LBW) ev... more Globally, it is estimated that 15 million babies are born premature and low birth weight (LBW) every year [1]. Premature and LBW infants are at an increased risk of morbidity and mortality, [2]. They are also prone to complications such as inhibited growth and development, chronic disease and lifelong disability [3]. Complications of preterm and LBW are the leading causes of death among children under the age of 5 years accounting for nearly 1 million deaths globally [4]. In Zambia, the neonatal mortality rate is 24 per 1000 live births and the majority of these neonatal deaths are equally attributed to complications of prematurity and LBW including sepsis and asphyxia Vancouver.