Challenges facing physicians in death certification of under-five mortality in Egypt.

Background: Improving death certification of Under 5 Mortality (U5M) is an important pre-requisite for improving child health. This study aimed to obtain a clear and comprehensive understanding of the process of death registration of U5M and address the challenges of accurate certification faced by physicians at hospitals and health offices.

Methods: A qualitative descriptive study was performed by conducting 10 Focus Group Discussions (FGDs) with physicians who are actively involved in the certification of U5M.

Validation of the arabic version of the EuroQol-5-dimension 5-level (EQ-5D-5 L) in patients with spinal degenerative diseases.

Objective: This study aims to test the reliability and validity of the translated Arabic version of EQ-5D-5 L.

Methods: The study was conducted on 100 patients operated upon for degenerative spine diseases coming for follow up in the outpatient clinic of a Tertiary care hospital. Test-retest reliability was assessed by completing the self-administered tool in two follow up visits, one week apart, by 50 patients.

Provider bias and family planning in Upper Egypt: a simulated client approach.

Background: Provider bias is a main barrier that extensively violates the right of free family planning method choice. Egypt is one of the countries that shows skewness in its method mix. Provider bias and insufficiency of alternative methods are identified as potential factors underlying this phenomenon which contributes to high unmet needs and discontinuation rates.

Stigma and discrimination against people living with HIV by health care providers in Egypt.

Objective: HIV/AIDS has been recently increasingly observed in developing countries including Egypt. This study aimed to explore stigma and discrimination attitudes of health care providers (HCPs) in Egypt, as elimination of stigma in healthcare settings is a priority to improve case detection and management.

Methods: A Google form questionnaire using the validated Arabic version of Health Care Provider HIV/AIDS Stigma Scale (HPASS) was sent to physicians and nurses of Ministry of health (MOH) hospitals and University hospitals in 10 randomly selected Governorates in Egypt.

Preoperative stiffness is the most important predictor of postoperative patient's satisfaction after total knee arthroplasty.

Purpose: To predict the most important preoperative factor affecting the patient satisfaction after total knee arthroplasty (TKA) in trial to improve patient counselling process.

Methods: We retrospectively reviewed all patients who underwent primary TKA from January 1, 2018, to January 31, 2019, with minimum one-year follow-up for the previously collected patient-reported outcome measures (PROMs) as Oxford Knee Score (OKS) and Knee Injury and Osteoarthritis Outcome Score for joint replacement (KOOS, JR) preoperative, 6 months and 12 months postoperative.

Results: By using Oxford knee score at 12 months as dependent variable, we found a negative moderate spearman correlation between age and Oxford knee score at 12 months postoperative.

Effect of parental attitudes on the practice and medicalization of female genital mutilation: a secondary analysis of Egypt Health Issues Survey, 2015.

Background: Despite the observed decrease in female genital mutilation (FGM) prevalence, it is increasingly being medicalized. We examined the attitudes of both parents towards the FGM practice in Egypt, and highlighted the effect of fathers' decision making and attitudes towards FGM and violence on FGM practice and medicalization.

Methods: This study is a secondary analysis of Egypt Health Issues Survey (EHIS), 2015.

Cross-Cultural Adaptation and Psychometric Assessment of an Arabic Version of the Health Care Provider HIV/AIDS Stigma Scale.

HIV stigma among health care providers in the Arab world is understudied due to a lack of valid and reliable measures. Data from 352 Egyptian physicians was used to validate an Arabic version of the Health Care Provider HIV/AIDS Stigma Scale (HPASS). Exploratory factor analysis ( = 1 9 4) suggested a 3 -factor structure.

Intention of pregnant women for the postpartum use of intrauterine devices in Upper Egypt's rural communities.

Objectives: This study aims to assess pregnant women's intention in rural Upper Egypt to use the copper-bearing intrauterine device (IUD) and to identify the factors influencing their intention to use the method.

Methods: The study was a household survey of 400 pregnant women in 16 villages in Assiut and Sohag Governorates in Upper Egypt.

Results: Only one third of the study participants (30.

Family planning perspectives and practices of married adolescent girls in rural Upper Egypt.

Objectives: The aims of the study were to explore the contraceptive practices of married adolescent girls in rural Upper Egypt and identify the determinants of their ever use of modern contraception.

Methods: The study was a household survey of 729 married adolescent girls in 23 villages of two governorates in Upper Egypt. Listing and enumeration of all households in the selected villages were performed prior to data collection, to recruit married adolescent girls below 20 years of age.

Spousal violence and its determinants among married adolescent girls in Upper Egypt.

Introduction: In Egypt, many girls are still married before the age of 18, which is a fundamental violation of the girls' human rights. Early marriage is associated with an alarmingly elevated risk of all types of intimate partner violence that have various negative consequences. The purpose of this study was to identify the predictors of exposure to spousal violence among the early married girls in rural Upper Egypt.

Birth preparedness and complication readiness among antenatal care clients in Upper Egypt.

Objectives: To assess knowledge and practice of birth preparedness among antenatal care (ANC) clients attending maternal and child health center in Assiut Governorate in Upper Egypt and to identify factors affecting BP/CR knowledge and practice.

Methods: A cross sectional study was conducted in three randomly selected health centers providing ANC services in Assiut city, Upper Egypt. 300 pregnant women in their third trimester were interviewed using an Arabic version of the BP/CR questionnaire.

Health care providers' and mothers' perceptions about the medicalization of female genital mutilation or cutting in Egypt: a cross-sectional qualitative study.

Background: Female genital mutilation/cutting (FGM/C) is a traditional harmful practice that has been prevalent in Egypt for many years. The medicalization of FGM/C has been increasing significantly in Egypt making it the country with the highest rate of medicalization. In this qualitative study, we explored the drivers and motives behind why healthcare professionals perform FGM/C and why mothers rely on them to perform the practice on their daughters.

Health care providers' perceptions and practices of screening for domestic violence in Upper Egypt.

Objectives: To explore the attitude of health care providers about screening for and dealing with domestic violence in the health care setting and to assess the physicians screening behavior.

Methods: We surveyed physicians and nurses working in different departments of Assiut University Hospital using a self-administered questionnaire. Two focus group discussions with physicians and nurses were also conducted.

Factors associated with first-year discontinuation of Implanon in Upper Egypt: clients' and providers' perspectives.

Background: The etonogestrel implant Implanon is a favourable and cost-effective contraceptive method for women in developing countries, and expansion of its use represents a priority for the family planning (FP) programme in Egypt. We studied the factors affecting first-year Implanon discontinuation from clients' and providers' perspectives.

Methods: We used a mixed quantitative-qualitative methodology.

Pre-travel health seeking practices of Umrah pilgrims departing from Assiut International Airport, Egypt.

Objectives: to assess the health seeking practices and their determinants among Umrah pilgrims departing from Assiut international Airport.

Methods: We interviewed 300 pilgrims departing from Assiut International Airport while they were in the departure lounge, using a semi-structured questionnaire.

Results: Only 60%, 46.

Attitudes of physicians providing family planning services in Egypt about recommending intrauterine device for family planning clients.

Objectives: To assess the attitudes of physicians providing family planning services at the public sector in Egypt about recommending intrauterine device (IUD) for family planning clients, and to identify the factors that could affect their attitudes.

Methods: A descriptive cross sectional study, in which all the physicians providing family planning services in Assiut Governorate were invited to complete self-administered questionnaires. The study participants were recruited at the family planning sector monthly meetings of the 13 health directorates of Assiut Governorate, Upper Egypt.