Objectives This study sought to determine the prevalence and associated factors of hepatitis B virus (HBV) infection ever in life chronic HBV Armenia. Design A population-based cross-sectional seroprevalence combined with a phone survey tested individuals. Setting All administrative units Armenia including 10 provinces capital city Yerevan. Participants The frame was general adult population aged ≥18 years. Primary secondary outcome measures participants were for anti-HBV core antibodies...

The COVID-19 pandemic has imposed immense stress on global health care systems, especially in low- and middle-income countries (LMICs). Armenia, a country the Caucasus region, contended with concurrent war, resulting significant demand its already strained infrastructure. COVID@home program was multi-institution, international collaboration to address critical hospital bed shortages by implementing home-based oxygen therapy remote monitoring program.

Hepatitis C virus (HCV) infection is among the leading causes of cirrhosis and hepatocellular carcinoma. Knowledge its prevalence risk factors can help to effectively fight virus. This study was first investigate seroprevalence HCV, genotypes, associated with it general adult population Armenia selected countrywide via cluster sampling. Anti-HCV antibodies were detected using third-generation immunoassay. Polymerase chain reaction genotyping performed anti-HCV-positive individuals. Shortly...

Abstract Background Stress is an important issue in academic institutions and can have a negative impact on overall performance. This study was conducted as research assignment during the Basics of Healthy Lifestyle course aimed to investigate stress level among undergraduate students at American University Armenia (AUA). Methods A cross-sectional survey recruited by non-random convenience sampling. The utilized structured questionnaire conduct face interviews. contained 40 close-ended...

COVID-19 has led to over 500 million cases and 6.2 deaths around the world. Low- middle-income countries (LMICs) like Armenia face unique infrastructure, financial, capacity challenges that in many result worse outcomes. Health care facilities across experienced a shortage of resources, including hospital beds oxygen, which was further exacerbated by war with neighboring Azerbaijan. Without framework for home-based care, health were severely strained patients who had prolonged oxygen...

<sec> <title>BACKGROUND</title> The COVID-19 pandemic has imposed immense stress on global health care systems, especially in low- and middle-income countries (LMICs). Armenia, a country the Caucasus region, contended with concurrent war, resulting significant demand its already strained infrastructure. COVID@home program was multi-institution, international collaboration to address critical hospital bed shortages by implementing home-based oxygen therapy remote monitoring program. </sec>...

Abstract Introduction The impact of armed conflict and war on mental health is well documented, with limited data populations living in unrecognized states. In this study, we examined the prevalence risk factors symptoms depression among Nagorno-Karabakh population during a ceasefire period, prior to blockade, full-scale military attack, their forced displacement. Methods A total 1023 women, aged 18-49 years, from all regions Nagorno-Karabakh, participated population-based household survey...

Abstract Background Reproductive, maternal, newborn and child health are negatively impacted in conflict-affected settings, may be acutely affected frozen conflicts due to fragile systems uncertain geopolitical contexts. To better understand maternal a conflict zone, we examined outcomes Nagorno-Karabakh during ceasefire period prior the forced displacement of entire population. Methods Multistage cluster sampling was used sample 1023 households summer 2022. From each household, one woman,...

Abstract Background We explored the behaviors related to infectious diseases (ID) and its predictors among 15-17 years old adolescents in Armenia. Methods surveyed from public private high schools Yerevan one province 2023. The instrument ID-related behaviors, health literacy (HL), interest health, socio-demographics. were measured with five Yes/No questions about sharing a toothbrush, covering their mouth when coughing or sneezing, washing hands soap water - before eating, after using...

Abstract Background We assessed the level of health literacy (HL) and explored its predictors among 15-17 years old adolescents in Armenia. Methods conducted a survey public private schools capital Yerevan an adjacent province 2023. The instrument included items on HL, general interest socio-demographics. Ten questions measuring HL with four answer options were summed into score (0-30). Multivariable regression model independent associations socio-demographic factors issues HL. Results...

Background: People-centered tuberculosis (TB) care promotes treatment adherence and outcomes. TB patients’ families’ health education protection of their rights are among the core components people-centered care. We aimed to assess level people-centeredness as a proxy quality in largest inpatient unit National Pulmonology Center (NPC) Armenia. Methods: conducted qualitative study by interviewing clinical administrative staff, patients, family members learn experiences about patient (PFE&R)...

The quality of care for tuberculosis (TB) is deficient in high-burden countries and urgently needs improvement. However, comprehensively identifying the required improvements challenging. Providing high-quality TB an important step toward improving patients' life decreasing morbidity mortality. Effective tools assessing services using international standards guidelines can identify existing gaps inform to ensure inpatient services.This study aimed develop evaluation instruments defining...

Abstract Background Achieving integrated people-centered care requires interventions at various levels of the system, including policy changes and measures tailored to strengthen skills competencies health providers. The national guidelines for TB provision in Armenia provide a standardized approach diagnosis treatment, systematic implementation services across country. Before August 2019, only option drug-sensitive treatment was facility-based DOT. Methods In order offer an alternative...

Abstract Background Smoking influences cellular and humoral immune responses affects the system by increasing inflammation decreasing activity against infections. The current study investigates association between smoking immunological response to SARS-CoV-2 in Armenian population. Methods We performed a nationwide cross-sectional seroepidemiological among adult population (≥18 years old) Armenia. used multi-stage cluster random sampling recruit participants from capital city all regions of...

Abstract Introduction Maternal and child health are crucial for the well-being of a society. Armed conflicts negatively affect systems including maternal services. We explored access utilization prenatal postnatal care services in Nagorno-Karabakh: frozen conflict zone. Methods applied cluster sampling to draw sample 1023 households Nagorno-Karabakh 2022. Interviewer-administered surveys were conducted among women reproductive age (18-49) from selected households. The instrument captured key...

Abstract Background Disruptions in healthcare are common conflict-affected settings, particularly frozen conflict zones where an already fragile health system is affected by the uncertain geopolitical context. Childhood vaccinations vital such settings to prevent illness vulnerable population. To better understand services a zone, we examined vaccination coverage among children Nagorno-Karabakh. Methods Multistage cluster sampling was used sample households Nagorno-Karabakh during summer of...

development-progression related to tobacco use, use impact from the cellular international level and finally treatment of attributable disease through smoking cessation.

<sec> <title>BACKGROUND</title> The quality of care for tuberculosis (TB) is deficient in high-burden countries and urgently needs improvement. However, comprehensively identifying the required improvements challenging. Providing high-quality TB an important step toward improving patients’ life decreasing morbidity mortality. Effective tools assessing services using international standards guidelines can identify existing gaps inform to ensure inpatient services. </sec>...

Abstract Background Community or family-based DOT improves clinical outcomes and quality of life TB patients compared to facility-based DOT. Based on a previously conducted trial recommended best practice guidelines, Armenia started the institutionalization in 2019, as an important component integrated people-centered approach treatment. Psycho-social counselling education played crucial role preparing patients/family members for this new model care. Methods To facilitate DOT,...

To evaluate the feasibility and safety of medial non-papillary percutaneous nephrolithotomy (npPCNL) for management large proximal ureteral stones. We evaluated prospectively collected data 37 patients with stones >1.5 cm in diameter treated by prone npPCNL. Depending on stone size, in-toto removal or lithotripsy using Lithoclast® Trilogy was performed. Perioperative parameters including operative time (from start puncture to skin suturing), extraction first insertion nephroscope all...

Abstract Background From the early stages of COVID-19 pandemic, global medical community has put remarkable efforts to contain burden disease.Study aimTo assess seroprevalence antibodies against SARS-CoV-2 and its associated factors among frontline health care workers (HCW) in hospitals primary healthcare (PHC) facilities Armenia. MethodsWe implemented a cross-sectional study, where we collected blood samples for antibody testing conducted phone survey. We applied clustered sampling strategy...