❖ There is a high unmet need for modern contraception among Orang Asli women¹. Orang Asli women h... more ❖ There is a high unmet need for modern contraception among Orang Asli women¹. Orang Asli women has high risk for maternal health related morbidity and morbidity. ❖ Modern contraceptive usage are proven able to reduce maternal health related morbidity and mortality, as well as improving the quality of life of women in general². ❖ The aim of this study is to determine the prevalence of modern contraceptive usage among Orang Asli women as well as its associated factor
Introduction: The modified Viennese manual perineal protection (VMPP) is a modified method based ... more Introduction: The modified Viennese manual perineal protection (VMPP) is a modified method based on an experimental study on a computerized biomechanical model of the perineum by Jansova and colleagues. It determines the exact placement of fingers on the perineum that has less perineal tension with the minimal perineal injury. Aim: To evaluate the effectiveness of modified VMPP in protecting the perineal injury and need of episiotomy compared to conventional method. The associated risk factors for perineal injury were also identified. Methodology: A randomize case control study on laboring women without previous vaginal delivery at the tertiary hospital. The modified VMPP was based on a method described by Jansova et al., (2014). The sanitary pad was used to support and protect perineum in the control group. Result: A total of 158 women were recruited and divided into modified VMPP group (n=71) and control group (n=78). Nine cases were excluded due to instrumental deliveries. Thirty two (21.5%) women had intact perineum mainly in modified VMPP group (p=0.022).There were 81 (54.4%) cases of first degree perineal tear, 16 (10.7%) second degree tear and 26 (18.7%) required episiotomy which is more in the control group (p=0.548). None of the participants suffered third or fourth degree perineal tears. The more advanced maternal age, the higher BMI and larger infant’s head circumference, the higher risk of perineal injury. Conclusion: Modified VMPP is effective in minimizing perineal injury and less need for an episiotomy. The risk of perineal injury is higher with increasing maternal age, BMI and fetal head circumference
Research shows that nurses are one of the most vulnerable categories of professionals to develop ... more Research shows that nurses are one of the most vulnerable categories of professionals to develop stress and other problems due to the nature of their job. Thus the objective of this study is to describe the perceived stress experienced during the COVID-19 pandemic among Malaysian nurses. A cross-sectional study was conducted through an online form involving 319 randomly selected nurses from a teaching hospital on the east coast of Pahang, Malaysia, between January to December 2022. The perceived stress was measured using the Malay version 10-item Perceived Stress Scale, PSS-10 questionnaire. Descriptive and linear regression analysis was applied to measure the mean score of perceived stress and the association between perceived stress scores and other factors in this population. The study found that the total mean score of PSS-10 among the respondents was 19.1 ± 5.8. The three items with the highest mean scores were under the subscales “lack of self-efficiency” of the questionnaire ...
Jurnal Komunikasi: Malaysian Journal of Communication, Jun 30, 2023
This study explores at-risk communities’ attitudes toward Plasmodium knowlesi (P. knowlesi) malar... more This study explores at-risk communities’ attitudes toward Plasmodium knowlesi (P. knowlesi) malaria prevention behaviours using the Integrated Behavioural Model (IBM) as a guiding framework. This study also presents efforts and challenges faced by district health officers in Peninsular Malaysia in their role as the health authority for mitigating the disease. Seventeen informants were selected from at-risk areas in three states with high cases of P. knowlesi in 2019 (Johor, Pahang, Kelantan) to be interviewed. Semi-structured interview questions were developed guided by the IBM framework. Three district health officers who were involved in malaria prevention efforts in the selected states were also interviewed. Qualitative data analysis using Atlas.ti 8 software was used to facilitate thematic coding. Five prevention behaviours were found to be prevalent among the informants and are hypothesised to be suited for behavioural improvement intervention among at-risk communities. The prevention behaviours identified are: consuming prophylaxis, wearing long sleeves, using bed nets, mosquito coils and insect repellent. Current efforts by health district officers for P. knowlesi malaria prevention include erecting warning signs, community education programmes, and empowering community influencers. Challenges faced by the health district officers include difficulty accessing remote locations, limited facilities, and military-specific issues. This study suggests that future prevention efforts focused on behavioural improvement among at-risk communities in Malaysia should concentrate on the five prevention efforts most prevalent among these communities. Keywords: P. knowlesi malaria, attitude, prevention challenges, prevention efforts, peninsular Malaysia.
Current data shows an increment of the NCDs and its modifiable risk factors, resulting in an incr... more Current data shows an increment of the NCDs and its modifiable risk factors, resulting in an increasing number of related deaths. We sought to measure the proportion of adults with NCDs and its modifiable risk factors among resi- dents of FELDA Lepar Hilir 1, Kuantan, Pahang. A cross-sectional study was conducted among 216 consented adults aged 18 years old and above in the selected houses, using a simple random sampling. A face-to-face, interviewer-ad- ministered questionnaire adapted from National Health and Morbidity Survey, 2015 was used. Clinical assessment was measured using weighing scale SECA 762, height measuring tool SECA 242, measuring tape, manual mercury sphygmomanometer, and Rightest GM 550 Blood Glucose Monitoring System. We use SPSS (version 24.0) for data analysis. The proportions were highest for hypertension (31.9%), followed by hypercholesterolemia (27.8%) and diabetes mellitus (20.4%). For risk factors, 39.4% were inactive, while 88.4%, 91.2%, and 39.8% have ina...
Background: P. knowlesi malaria remains a severe threat for at-risk communities in Malaysia. This... more Background: P. knowlesi malaria remains a severe threat for at-risk communities in Malaysia. This study explores efforts, challenges and initiatives taken by the health officers at districts with high cases of P. knowlesi malaria in peninsular Malaysia in their role as health authority for mitigating the disease.Method: In-depth interviews were conducted with three health officers from Gua Musang, Kuala Lipis and Kota Tinggi, where high cases of P. knowlesi malaria were recorded. A purposive sampling strategy was utilised to select each district's health officers involved with malaria prevention efforts. The interviews were transcribed and analysed using Atlas.ti 8 to identify current malaria prevention practices and the challenges faced in the implementation of these practices.Results: Efforts by the health district officers include conventional prevention strategies and inventive measures to mitigate infection. The conventional strategies were erecting warning signs, community...
Background Despite its proven benefits, participation in cardiac rehabilitation (CR) still remain... more Background Despite its proven benefits, participation in cardiac rehabilitation (CR) still remains low globally. The predictors of participation in this programme have been widely studied abroad however, in Malaysia, the data in this field is scarce as the programme is relatively new. Objective The aim of this study is to investigate the relationship between status of participation with sociodemographic, logistic and clinical health status. Methods A cross-sectional study was done in University Malaya Medical Centre, Malaysia. A total of 45 respondents of outpatient Phase II CR were selected through convenient sampling. The respondents completed sociodemographic and logistic survey through face-to-face and telephone-based interview. The clinical health status data were obtained from medical records. Data received were analyse using SPSS version 24.0. The percentage of each variable was calculated and the differences were tested using t-test and chi-square test where applicable. Multiple logistic regression was performed. Statistical significance was set at p <0.05. Results 51% of respondents were participants while 49% were non-participants. Univariate analysis revealed significant difference of more non-participants had medical comorbidities while more participants perceived already exercise (p<0.05). However, multiple logistic regression of the status of participation with sociodemographic, logistic and clinical health status shows no statistical significant predictors in the final model. Discussion Presence of medical comorbidities and exercise status were associated with participation status in CR. Patients education and awareness on CR should be emphasized by health care practitioners. Further studies involving multiple centres with larger cohort of patients should be done to identify predictors for CR participation which can assist the policy maker in structuring the programme to encourage more participation in CR programme
Introduction: Good physical health or istitha’ah is one of the shariah requisite to perform ... more Introduction: Good physical health or istitha’ah is one of the shariah requisite to perform hajj pilgrimage. Hence, passing the health screening is mandatory for the pilgrim to-be in Malaysia. The aim of this study is to describe the pilgrims’ health screening profile from a FELDA settlement in Pekan, Pahang. Materials and method: All 26 candidates from Chini’s FELDA cluster who were selected for hajj pilgrimage in 2017 underwent health screening at a nearby health clinic. Data from this health screening were analysed descriptively using SPSS software version 23.0. Results: Candidates consists of 11 men and 15 women aged between 48 to 86 years with the mean age of 61. Result showed that both sexes have comparable mean age and body mass index. Most of the candidates (88.5%) have at least 1 chronic medical problem (excluding overweight) while 54% have at least 2 or more medical problems. Women have higher prevalence of non-communicable disease (NCD) conditions namely obesity, hyp...
Background: Female sexual dysfunction (FSD) following childbirth imposes significant burden to th... more Background: Female sexual dysfunction (FSD) following childbirth imposes significant burden to the marital institution around the world. The perineal injury may potentially be one of the main risk factors contributing to postpartum female sexual dysfunction (PPFSD). The study aimed to determine the effect of perineal injury and patients’ characteristics on PPFSD. Methodology: This cross-sectional questionnaire study was conducted in six different health clinics in the district of Kuantan from April 2019 to October 2019. Eligible women who came to the family health clinics at 6 months postpartum were recruited as study population. The participants completed their biodata and socio-demographic form and the Malayvalidated Female Sexual Function Index (MVFSFI) questionnaire given. A cut-off point of 26.55 and below on MVFSFI scoring system was used as a measure of the primary outcome of sexual dysfunction. Results: Out of 240 women who delivered vaginally, 34 (14%) had intact perineum, ...
❖ There is a high unmet need for modern contraception among Orang Asli women¹. Orang Asli women h... more ❖ There is a high unmet need for modern contraception among Orang Asli women¹. Orang Asli women has high risk for maternal health related morbidity and morbidity. ❖ Modern contraceptive usage are proven able to reduce maternal health related morbidity and mortality, as well as improving the quality of life of women in general². ❖ The aim of this study is to determine the prevalence of modern contraceptive usage among Orang Asli women as well as its associated factor
Introduction: The modified Viennese manual perineal protection (VMPP) is a modified method based ... more Introduction: The modified Viennese manual perineal protection (VMPP) is a modified method based on an experimental study on a computerized biomechanical model of the perineum by Jansova and colleagues. It determines the exact placement of fingers on the perineum that has less perineal tension with the minimal perineal injury. Aim: To evaluate the effectiveness of modified VMPP in protecting the perineal injury and need of episiotomy compared to conventional method. The associated risk factors for perineal injury were also identified. Methodology: A randomize case control study on laboring women without previous vaginal delivery at the tertiary hospital. The modified VMPP was based on a method described by Jansova et al., (2014). The sanitary pad was used to support and protect perineum in the control group. Result: A total of 158 women were recruited and divided into modified VMPP group (n=71) and control group (n=78). Nine cases were excluded due to instrumental deliveries. Thirty two (21.5%) women had intact perineum mainly in modified VMPP group (p=0.022).There were 81 (54.4%) cases of first degree perineal tear, 16 (10.7%) second degree tear and 26 (18.7%) required episiotomy which is more in the control group (p=0.548). None of the participants suffered third or fourth degree perineal tears. The more advanced maternal age, the higher BMI and larger infant’s head circumference, the higher risk of perineal injury. Conclusion: Modified VMPP is effective in minimizing perineal injury and less need for an episiotomy. The risk of perineal injury is higher with increasing maternal age, BMI and fetal head circumference
Research shows that nurses are one of the most vulnerable categories of professionals to develop ... more Research shows that nurses are one of the most vulnerable categories of professionals to develop stress and other problems due to the nature of their job. Thus the objective of this study is to describe the perceived stress experienced during the COVID-19 pandemic among Malaysian nurses. A cross-sectional study was conducted through an online form involving 319 randomly selected nurses from a teaching hospital on the east coast of Pahang, Malaysia, between January to December 2022. The perceived stress was measured using the Malay version 10-item Perceived Stress Scale, PSS-10 questionnaire. Descriptive and linear regression analysis was applied to measure the mean score of perceived stress and the association between perceived stress scores and other factors in this population. The study found that the total mean score of PSS-10 among the respondents was 19.1 ± 5.8. The three items with the highest mean scores were under the subscales “lack of self-efficiency” of the questionnaire ...
Jurnal Komunikasi: Malaysian Journal of Communication, Jun 30, 2023
This study explores at-risk communities’ attitudes toward Plasmodium knowlesi (P. knowlesi) malar... more This study explores at-risk communities’ attitudes toward Plasmodium knowlesi (P. knowlesi) malaria prevention behaviours using the Integrated Behavioural Model (IBM) as a guiding framework. This study also presents efforts and challenges faced by district health officers in Peninsular Malaysia in their role as the health authority for mitigating the disease. Seventeen informants were selected from at-risk areas in three states with high cases of P. knowlesi in 2019 (Johor, Pahang, Kelantan) to be interviewed. Semi-structured interview questions were developed guided by the IBM framework. Three district health officers who were involved in malaria prevention efforts in the selected states were also interviewed. Qualitative data analysis using Atlas.ti 8 software was used to facilitate thematic coding. Five prevention behaviours were found to be prevalent among the informants and are hypothesised to be suited for behavioural improvement intervention among at-risk communities. The prevention behaviours identified are: consuming prophylaxis, wearing long sleeves, using bed nets, mosquito coils and insect repellent. Current efforts by health district officers for P. knowlesi malaria prevention include erecting warning signs, community education programmes, and empowering community influencers. Challenges faced by the health district officers include difficulty accessing remote locations, limited facilities, and military-specific issues. This study suggests that future prevention efforts focused on behavioural improvement among at-risk communities in Malaysia should concentrate on the five prevention efforts most prevalent among these communities. Keywords: P. knowlesi malaria, attitude, prevention challenges, prevention efforts, peninsular Malaysia.
Current data shows an increment of the NCDs and its modifiable risk factors, resulting in an incr... more Current data shows an increment of the NCDs and its modifiable risk factors, resulting in an increasing number of related deaths. We sought to measure the proportion of adults with NCDs and its modifiable risk factors among resi- dents of FELDA Lepar Hilir 1, Kuantan, Pahang. A cross-sectional study was conducted among 216 consented adults aged 18 years old and above in the selected houses, using a simple random sampling. A face-to-face, interviewer-ad- ministered questionnaire adapted from National Health and Morbidity Survey, 2015 was used. Clinical assessment was measured using weighing scale SECA 762, height measuring tool SECA 242, measuring tape, manual mercury sphygmomanometer, and Rightest GM 550 Blood Glucose Monitoring System. We use SPSS (version 24.0) for data analysis. The proportions were highest for hypertension (31.9%), followed by hypercholesterolemia (27.8%) and diabetes mellitus (20.4%). For risk factors, 39.4% were inactive, while 88.4%, 91.2%, and 39.8% have ina...
Background: P. knowlesi malaria remains a severe threat for at-risk communities in Malaysia. This... more Background: P. knowlesi malaria remains a severe threat for at-risk communities in Malaysia. This study explores efforts, challenges and initiatives taken by the health officers at districts with high cases of P. knowlesi malaria in peninsular Malaysia in their role as health authority for mitigating the disease.Method: In-depth interviews were conducted with three health officers from Gua Musang, Kuala Lipis and Kota Tinggi, where high cases of P. knowlesi malaria were recorded. A purposive sampling strategy was utilised to select each district's health officers involved with malaria prevention efforts. The interviews were transcribed and analysed using Atlas.ti 8 to identify current malaria prevention practices and the challenges faced in the implementation of these practices.Results: Efforts by the health district officers include conventional prevention strategies and inventive measures to mitigate infection. The conventional strategies were erecting warning signs, community...
Background Despite its proven benefits, participation in cardiac rehabilitation (CR) still remain... more Background Despite its proven benefits, participation in cardiac rehabilitation (CR) still remains low globally. The predictors of participation in this programme have been widely studied abroad however, in Malaysia, the data in this field is scarce as the programme is relatively new. Objective The aim of this study is to investigate the relationship between status of participation with sociodemographic, logistic and clinical health status. Methods A cross-sectional study was done in University Malaya Medical Centre, Malaysia. A total of 45 respondents of outpatient Phase II CR were selected through convenient sampling. The respondents completed sociodemographic and logistic survey through face-to-face and telephone-based interview. The clinical health status data were obtained from medical records. Data received were analyse using SPSS version 24.0. The percentage of each variable was calculated and the differences were tested using t-test and chi-square test where applicable. Multiple logistic regression was performed. Statistical significance was set at p <0.05. Results 51% of respondents were participants while 49% were non-participants. Univariate analysis revealed significant difference of more non-participants had medical comorbidities while more participants perceived already exercise (p<0.05). However, multiple logistic regression of the status of participation with sociodemographic, logistic and clinical health status shows no statistical significant predictors in the final model. Discussion Presence of medical comorbidities and exercise status were associated with participation status in CR. Patients education and awareness on CR should be emphasized by health care practitioners. Further studies involving multiple centres with larger cohort of patients should be done to identify predictors for CR participation which can assist the policy maker in structuring the programme to encourage more participation in CR programme
Introduction: Good physical health or istitha’ah is one of the shariah requisite to perform ... more Introduction: Good physical health or istitha’ah is one of the shariah requisite to perform hajj pilgrimage. Hence, passing the health screening is mandatory for the pilgrim to-be in Malaysia. The aim of this study is to describe the pilgrims’ health screening profile from a FELDA settlement in Pekan, Pahang. Materials and method: All 26 candidates from Chini’s FELDA cluster who were selected for hajj pilgrimage in 2017 underwent health screening at a nearby health clinic. Data from this health screening were analysed descriptively using SPSS software version 23.0. Results: Candidates consists of 11 men and 15 women aged between 48 to 86 years with the mean age of 61. Result showed that both sexes have comparable mean age and body mass index. Most of the candidates (88.5%) have at least 1 chronic medical problem (excluding overweight) while 54% have at least 2 or more medical problems. Women have higher prevalence of non-communicable disease (NCD) conditions namely obesity, hyp...
Background: Female sexual dysfunction (FSD) following childbirth imposes significant burden to th... more Background: Female sexual dysfunction (FSD) following childbirth imposes significant burden to the marital institution around the world. The perineal injury may potentially be one of the main risk factors contributing to postpartum female sexual dysfunction (PPFSD). The study aimed to determine the effect of perineal injury and patients’ characteristics on PPFSD. Methodology: This cross-sectional questionnaire study was conducted in six different health clinics in the district of Kuantan from April 2019 to October 2019. Eligible women who came to the family health clinics at 6 months postpartum were recruited as study population. The participants completed their biodata and socio-demographic form and the Malayvalidated Female Sexual Function Index (MVFSFI) questionnaire given. A cut-off point of 26.55 and below on MVFSFI scoring system was used as a measure of the primary outcome of sexual dysfunction. Results: Out of 240 women who delivered vaginally, 34 (14%) had intact perineum, ...
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