Willingness to pay for a dengue vaccine and its associated determinants in Indonesia: A community-based, cross-sectional survey in Aceh

The use of nonprescription medicines (NPDs) for children illnesses without a doctor’s suggestion can lead to unnecessary medication use and is not free of risks. The aim of our study was to examine attitudes and practice of parents towards NPDs use for their children. We also investigated the conditions that may predict NPDs use. A cross-sectional survey was conducted on parents of children attending Community Based Pediatrician (CBP) consultation and data were collected through structured interviews. Positive attitude on NPDs use was reported by 71.4% of parents, and 61.5% of them had administered NPDs in the previous 6 months. Antipyretic drugs were the most frequently used medication class without the supervision of the CBP. A positive attitude towards NPDs was significantly more frequent in parents who did not use the CBP as the sole source of information about drugs. The study demonstrated a widespread use of NPDs in children in our context, supported by a substantial positive attitude towards their safety. However, considering potential harms related to some NPDs and the finding that most parents rely on CBP advice, role of CBP on appropriate use of NPDs by parents should be emphasized.

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Prevalence of eczema among older persons: A population-based cross-sectional study

Indian Journal of Dermatology Venereology and Leprology ◽

10.25259/ijdvl_990_19 ◽

2021 ◽

Vol 0 ◽

pp. 1-5

Author(s):

Vijayan Neena ◽

Neelakandhan Asokan ◽

Rajany Jose ◽

A. Sarin

Keyword(s):

Older Persons ◽

Health Workers ◽

Age Groups ◽

Medical Knowledge ◽

Population Based ◽

Cross Sectional Survey ◽

Community Based Interventions ◽

Community Based ◽

Cross Sectional ◽

Lichen Simplex Chronicus

Background: There are very few population-based studies on the prevalence of eczema among older persons Aims: To estimate the prevalence and types of eczema in those aged 65 years or more in the community and to evaluate the effectiveness of community-based interventions for case finding. Methods: In the first stage of this cross-sectional survey, trained health workers of a non-governmental organization surveyed the eligible population and identified persons likely to have eczema. In the second stage, dermatologists examined such persons to ascertain the diagnosis. Statistical analysis was done using Epi Info software version 7. Prevalence of eczema was expressed in percentages. Chi-square test was used for comparing the difference in prevalence of eczema in various age groups and sex. Results: Health workers identified 98 persons as possible cases of eczema after interviewing 385 older persons in the community. Among them 95 persons were examined by dermatologists and 44 were confirmed to have eczema (diagnostic accuracy of health workers = 46.3%).Point prevalence of eczema was 11.4% (44/385). Prevalence was similar in males and females. It was greater (18.2 %) among persons aged 81 years or more. Asteatotic eczema, gravitational eczema and lichen simplex chronicus were the more common types of eczema. Limitations: Possible underestimation of the prevalence rates due to limited medical knowledge of health workers; limited facilities for examination and investigations at the medical camps and home visits. Conclusion: There appears to be a considerable burden of eczema among older persons in the community. A community-based approach involving non-governmental organizations has the potential to identify cases and offer care close to their homes.

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Prevalence of plasmodium, leptospira and rickettsia species in Northern Tanzania: a community based survey

African Health Sciences ◽

10.4314/ahs.v20i1.25 ◽

2020 ◽

Vol 20 (1) ◽

pp. 199-207

Author(s):

Jaffu O Chilongola ◽

Elias J Sabuni ◽

Eliakimu Paul Kapyolo

Keyword(s):

Infectious Diseases ◽

Malaria Diagnosis ◽

Plasmodium Infection ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

Rickettsia Species ◽

Northern Tanzania ◽

Leptospira Spp ◽

Study Sites

Background: The overlap of symptoms, geographic and seasonal co-occurrence of Plasmodium, Leptospira and Rickettsia infections makes malaria diagnosis difficult, increasing the chances of misdiagnosis. The paucity of data on the prevalence Plasmodium, Leptospira and Rickettsia infections contributes to an overly diagnosis of malaria. We aimed to determine the prevalence and distribution of Plasmodium, Leptospira and Rickettsia infections in northern Tanzania. Methods: A community based, cross sectional survey was conducted in two sites in Northern Tanzania. PCR was used to detect Plasmodium, Leptospira and Rickettsia infections. Results: The prevalence of P. falciparum and Leptospira spp were 31/128 (24.2%) and 3/128 (2.3%), respectively. No Rickettsia infection was detected in any of the two sites. Taking study sites separately, Plasmodium infection was detected in 31/63(49.2%) of participants in Bondo while Leptospira infection was detected in 3/65(4.6%) of participants in Magugu. Plasmodium was not detected in Magugu while no Leptospira infections were detected in Bondo. Fever was significantly associated with Plasmodium infection (χ2= 12.44, p<0.001) and age (χ2=17.44, p=0.000). Conclusion: Results from this study indicate Plasmodium infection as the main cause of fever in the studied sites. While Plasmodium and Leptospira contribute to fevers, Rickettsia infection is an insignificant cause of fever in Northern Tanzania. Keywords: Neglected Infectious Diseases; Plasmodium; Leptospira; Rickettsia; co-occurrence; Tanzania.

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Willingness to pay for improvements in rural sanitation: Evidence from a cross-sectional survey of three rural counties in Kenya

PLoS ONE ◽

10.1371/journal.pone.0248223 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0248223

Author(s):

Diana Mutuku Mulatya ◽

Vincent Were ◽

Joseph Olewe ◽

Japheth Mbuvi

Keyword(s):

Willingness To Pay ◽

New Technologies ◽

Contingent Valuation Method ◽

Evaluation Research ◽

Total Sample ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Poor Households ◽

Life Years ◽

The Mean

Poor sanitation worldwide leads to an annual loss of approximately $222.9 billion and is the second leading cause of Disability-Adjusted Life Years (DALY’s) lost due to diarrhoea. Yet in Kenya, the slow rate and levels at which the household’s access improved sanitation facilities remain a concern, and it is unknown if the cost of new technologies is a barrier to access. This study assessed the maximum willingness to pay (WTP) for SAFI and SATO sanitation products and identified those factors that affect the willingness to pay (WTP) valuation estimates by households in three counties in Kenya. It used quantitative economic evaluation research integrated within a cross-sectional survey. Contingent valuation method (CVM) was used to determine the maximum WTP for sanitation in households. We used the logistic regression model in data analysis. A total of 211 households were interviewed in each county, giving a total sample size of 633 households. The mean WTP for SAFI latrines was $153.39 per household, while the mean WTP for SATO pans and SATO stools was $11.49 and $14.77 respectively. For SAFI latrines, households in Kakamega were willing to pay $6.6 more than average while in Siaya, the households were willing to pay $5.1 less than the average. The main determinants of households WTP for the two sanitation products included household’s proximity to the toilet (p = 0.0001), household income (β = .2245741, p = 0.004), sanitation product (β = -2968.091; p = 0.004), socioeconomic status (β = -3305.728, p = 0.004) and a household’s satisfaction level with the current toilet (β = -4570.602; p = 0.0001). Increased proximity of households to the toilet, higher incomes, and providing loan facilities or subsidy to poor households could increase the demand for these sanitation technologies.

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Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v7i1.735 ◽

2015 ◽

Vol 7 (1) ◽

Cited By ~ 2

Author(s):

Ayodeji M. Adebayo ◽

Michael C. Asuzu

Keyword(s):

Health Facility ◽

Low Income ◽

Sampling Technique ◽

Simple Random Sampling ◽

Access To Health Services ◽

Cross Sectional Survey ◽

Self Medication ◽

Community Based ◽

Cross Sectional ◽

North West

Background: Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities.Aim: To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria.Settings: A low-income community in Ibadan North West Local Government Area of Oyo State.Methods:A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community. A semi-structured interviewer-administered questionnaire was used to collect information on respondents’ sociodemographic characteristics, knowledge and utilisation of the CBHF. Data analysis included descriptive statistics and association testing using the Chi-square test at p = 0.05.Results: The mean age of the respondents was 46.5 ± 16.0 years; 46.0% were men and 81.0% married; 26% had no formal education and 38.0% had secondary-level education and above; traders constituted 52.0% of the sample; and 85.2% were of low socioeconomic standing; 90%had patronised the CBHF. The main reasons for non-utilisation were preference for general hospitals (13.8%) and self-medication (12.1%). Respondents who had secondary education and above, were in a higher socioeconomic class, who had good knowledge of the facility and were satisfied with care, utilised the CBHF three months significantly more than their counterparts prior to the study (p < 0.05). However, only satisfaction with care was found to be a significant predictor of utilisation of the CBHF.Conclusion: The utilisation of the CBHF amongst adults in the study setting is high, driven mostly by satisfaction with the care received previously. Self-medication, promoted by uncontrolled access to drugs through pharmacies and patent medicine stores, threatens this high utilisation.

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Nutritional status of adolescent girls in Bangladesh: findings of a community based survey

South East Asia Journal of Public Health ◽

10.3329/seajph.v6i1.30337 ◽

2016 ◽

Vol 6 (1) ◽

pp. 3-7 ◽

Cited By ~ 1

Author(s):

Kabir Hossen ◽

Fazlur Rahman ◽

Saidur Rahman Mashreky

Keyword(s):

Nutritional Status ◽

Adolescent Girls ◽

Large Population ◽

Population Data ◽

Health Care Facilities ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

Household Level ◽

Under Nutrition

Poverty, large population, socio- economic inequalities and inadequate access to proper health care facilities are the key causes of under nutrition in Bangladesh. Adolescents are the most vulnerable group for under nutrition and having great consequence as they will be parent in future. Studies on nutritional status of adolescent girls are fewer in number and have great effect for intervention. The objective of this study was to assess the nutritional status and predisposing factors of under nutrition among the adolescent girls in Bangladesh. A community-based cross-sectional survey was carried out from July to December 2013. Adolescent girls were the study population. Data was collected by face to face interview at household level. According to BMI category (kg/m2) the prevalence of under-weight (BMI<18.5) was found 65.9% and as per Gomez Classification (Weight for age), the prevalence of malnutrition was 48.2% (mild), 23.5% (moderate) and 2.8% (severe) categories and finally, as per Water Low Classification wasting found 16.6% (mild), 3.5%(moderate) and 0.2% severe categories. On the other hand, stunting found 39.6 % (mild), 9.2% (moderate) and 2.3% (severe) categories. Prevalence of under nutrition was found much higher (82.3%) among younger age group (?12 years). Higher prevalence of under-nutrition also found among the functionally illiterate adolescent girls, it was 75.8% and 51.3% among illiterate and literate group respectively. In both of the cases difference was statistically significant (p<0.001). The prevalence of illness found higher among under-weight adolescent girls in last two weeks compare to healthy adolescent girls both in rural and urban settings. This difference also found statistically significant (p<0.001). Under nourishment found higher among younger and low literate girls. Prevalence of other symptoms is also found higher among them.South East Asia Journal of Public Health Vol.6(1) 2016: 3-7

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