COVID Appropriate Behaviour compliance and Vaccine Hesitancy: Findings from a COVID-19 Health Education Campaign in a Government Tertiary Care Hospital in Delhi, India

2021 ◽  
pp. 1-17
Author(s):  
Aritrik Das ◽  
Glory Ghai ◽  
Mohd Alam ◽  
Geeta Pardeshi ◽  
Jugal Kishore
Keyword(s):  
Public Health ◽  
Health Education ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Vaccine Safety ◽  
Vaccine Hesitancy ◽  
Care Hospital ◽  
Education Campaign ◽  
Health Measures ◽  
Credible Information

Abstract Introduction Public health measures remain the best available approach to tackle the COVID pandemic. However, little is currently known about the compliance and acceptance of these measures by people in India. Methods The Department of Community Medicine, VMMC and Safdarjung Hospital, a tertiary care hospital in New Delhi, organized a health education campaign for raising awareness on COVID-19 in the hospital premises over a period of 15 days in May2021. Educational and interactive sessions were conducted by medical residents, interns and staff. Data on compliance to public health measures was collected and analysed using SPSS 21. All quantitative variables were descriptively analysed while qualitative data was narratively analysed. Results 84(12.57%) of those observed were wearing their mask incorrectly. Social distancing was inadequate at 16 sites. 69(10.33%) reported to have received single or both doses of vaccine. Common reasons for not getting vaccinated included doubts about vaccine efficacy, eligibility, adverse events, availability and accessibility. Conclusions Mask usage was universal, but directives on correct protocol of wearing masks needs to be widely circulated. Credible information about vaccine safety, efficacy, availability and accessibility needs to be available to the community to build confidence in COVID-19 vaccination.

scholarly journals Prevalence of influenza vaccine hesitancy at a tertiary care hospital in Riyadh, Saudi Arabia

2018 ◽  
Vol 11 (4) ◽  
pp. 491-499 ◽  
Author(s):  
Abdullah A. Alabbad ◽  
Abdulaziz K. Alsaad ◽  
Mohamed A. Al Shaalan ◽  
Sulaiman Alola ◽  
Esam A. Albanyan
Keyword(s):  
Saudi Arabia ◽  
Influenza Vaccine ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Vaccine Hesitancy ◽  
Care Hospital

scholarly journals Identification of Risk Factors for Typhoid Fever in Children Admitted in a Tertiary Care Hospital

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Soma Halder ◽  
◽  
Md. Ekhlasur Rahman ◽  
Mst Mukta Sarker ◽  
Fabia Hannan Mone ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Enteric Fever ◽  
Tertiary Care Hospital ◽  
Systemic Disease ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Control Group ◽  
Major Public Health Problem ◽  
Care Hospital

Enteric fever remains a major public health problem in developing countries like Bangladesh. Improvement in the health facility, vaccination, and health-related awareness program the incidence of enteric fever among children is not decreased. The study aimed to find out the risk factors for enteric fever in hospitalized children in a tertiary care hospital. Methodology: We conducted a hospital-based case-control study to identify the risk factors in children residing in Dhaka city. We enrolled 50 enteric fever cases as a case group and 50 age-matched febrile patients as a control group. Result: Out of 50 cases, 2 patients were below one year and most of them were pre-school aged 26(52%). Univariate analysis showed that enteric fever is more who take food with the help of the mother and caregiver (OR=7.1); 95% CI= 26.7 -61.3) and never or rarely wash hands before preparing food and before feeding (OR= 5.7; 95% CI= 23.2 -52.8). Cases were eating outdoors at the mobile food vendors and consuming ice-cream regularly (OR=2.28; 95% CI=1- 39) whereas the control group also took street food but less frequently. Conclusion: Enteric fever is an exclusive food and water-borne systemic disease and one of the major public health problems in Bangladesh. Not only overcrowding, unsafe drinking water are the common risk factors but also hand washing both children and caregiver, poor food habit is the important risk factors. So, health education to children and food handlers may reduce the incidence of enteric fever in children.

scholarly journals Epidemiological Profile and Antimicrobial Resistance Pattern of Enteric Fever in a Tertiary Care Hospital of North India – a Seven Year Ambispective Study

2018 ◽  
Vol 61 (4) ◽  
pp. 125-130 ◽  
Author(s):  
Anuradha Makkar ◽  
Shilpi Gupta ◽  
Inam Danish Khan ◽  
Rajiv Mohan Gupta ◽  
KS Rajmohan ◽  
...  
Keyword(s):  
Public Health ◽  
Enteric Fever ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Multidrug Resistant ◽  
North India ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Drug Resistant

Introduction: Enteric-fever is a major public-health problem in developing countries emerging as multidrug-resistant, Nalidixic-acid resistant and extremely drug-resistant Salmonella (Pakistan, 2016), has intensified the use of WHO watch/reserve group antimicrobials such as azithromycin and meropenem. Methods: This ambispective-study was conducted on 782 non-repeat blood-culture isolates of S. Typhi, S. Paratyphi A and S. Paratyphi B obtained from 29,184 blood cultures received at a 1000-bedded tertiary-care hospital of North-India from 2011–2017. Identification and antibiograms were obtained by Vitek-2 compact and Kirby-Bauer’s disc diffusion with resistance to ampicillin, chloramphenicol and cotrimoxazole being labeled as multidrug-resistant. Decreased ciprofloxacin-susceptibility and ciprofloxacin-resistance were defined as MIC 0.125–0.5 and >1 μg/ml. Results: S. Typhi and S. Paratyphi A in a ratio of 3.9:1 were seen between July–September predominantly distributed between 6–45 year age group. Resistance to co-trimoxazole, chloramphenicol, ceftriaxone and azithromycin was 6.1%, 13.8%, 16.1 and 5.78% respectively. Multidrug-resistant S. typhi and S. paratyphi A were 2.73% and 1.91% respectively. Conclusion: Enteric-fever is a major public-health problem in India. Emergence of multidrug-resistant, Nalidixic-acid resistant and extremely-drug resistant Salmonella mandates ongoing surveillance for targeted empirical therapy and containment of spread. Repeated epidemics call for water, sanitation, hygiene and vaccination strategies to sustain herd-immunity.

scholarly journals Assessing the Learning environment of major Specialty PGRs in a tertiary care Hospital by Health Education Learning Environment Survey (HELES)”

2020 ◽  
Vol 3 (1) ◽  
pp. 53-58
Author(s):  
Qamar Ashfaq Ahmad
Keyword(s):  
Health Education ◽  
Learning Environment ◽  
Personal Development ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Three Dimensions ◽  
P Value ◽  
Care Hospital ◽  
System Maintenance ◽  
The Mean

Background: There are many surveys available to quantify educational climate of postgraduate residents but these are lacking in validity and theoretical background. Health education learning environment survey (HELES) with 35 questions in six subscales is used in undergraduates with good results. Objectives: To quantify current health education learning environment of our Post graduate residents of FCPS/MS/MD in Surgery, Medicine and Gynae & Obs in a tertiary care hospital by using HELES tool. This quantification will help Supervisors, Hospital administrators to monitor their programs, suggest and bring improvement.     Methods: A cross sectional study was done in Services Institute of Medical Sciences Lahore from 10th Sep to 1st Oct 2019. A sum of 90 residents in FCPS/MS/MD program with 30 each from Surgery, Medicine and Gynae & Obstetrics were selected.  A predesigned HELES proforma with 35 questions subdivided in 6 factors and 3 main dimensions was used. In “Personal development “a mean score of 34 and above was taken as positive score. In “Relationship” and in “System maintenance” dimension a mean score of 48 and above was taken as positive. Data was analyzed using SPSS 22 and p value of 0.05 was taken as significant. Results: Out of 90 residents, 57 (63.3%) were males and 33 (36.7%) were females without any significant difference between gender. The mean age was 27.4 ± 3.6 years. The mean score of all the residents in Surgery, Medicine and Gynae & Obs in all the three dimensions remained below the average reference values, which implies that our postgraduates are not content with the learning environment they live in.  The comparison of means among different specialties was 0.02 which was statistically significant. Resident’s response in all the three dimensions with their year of training was significant with a p value of < 0.05. 2nd year residents of all specialties scored comparatively high in all the three dimensions Conclusion:  PGRs in the 3 major specialties were dissatisfied with their health education learning environment. Maximum were discontent in Relationship dimension especially in Faculty relationship factor, then in System maintenance and then in Personal development dimension. Residents of Gynae & Obstetrics exhibited significantly low score in System Maintenance dimension.   Key words: Health, education, learning, environment, residents

Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh

2016 ◽  
Vol 1 (4) ◽  
pp. 151-157
Author(s):  
Ashok Agarwal ◽  
Pooja Bansal ◽  
Abhishek Kumar ◽  
VK Tiwari
Keyword(s):  
Health Education ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Pulmonary Medicine ◽  
Care Hospital ◽  
Remarkable Change ◽  
Cross Sectional ◽  
Health Records ◽  
Audiovisual Aids

ABSTRACT Objective To know the patients’ attitude regarding preserving records: pre- and postcounseling. Materials and methods A questionnaire was administered to all the subjects, and data were assessed by applying statistical test. The health education awareness is regularly carried out in outpatient department (OPD) and inpatient department (IPD) by various audiovisual aids. Setting A cross-sectional study was conducted among the patients from OPD and IPD of the Department of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. Results Out of 998 patients studied, 421 (42.2%) of them were preserving record and 577 (57.8%) did not. After counseling both groups who were preserving and not preserving the records, a remarkable change was observed, i.e., 800 (80.2%) patients from OPD and IPD started preserving their records in a positive way and were bringing at the time of consultation. Conclusion With the sustained and regular health education/motivation, the patients realized the importance of record keeping. How to cite this article Tiwari VK, Kumar A, Agarwal A, Joshi HS, Upadhyay D, Bansal P. Impact of Health Education in Perception of Patients regarding Storage of Health Records among Patients attending Tertiary Care Hospital, Bareilly District, Uttar Pradesh. Int J Adv Integ Med Sci 2016;1(4):151-157.

scholarly journals Co-existence of blaNDM-1 and blaVIM-1 producing Moellerella wisconsensis in NICU of North Indian Hospital

2020 ◽  
Vol 14 (02) ◽  
pp. 228-231
Author(s):  
Nayeem Ahmad ◽  
Syed M Ali ◽  
Asad U Khan
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Rectal Swab ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Female Child ◽  
Care Hospital ◽  
Major Threat ◽  
The North ◽  
Clinically Significant

Infections caused by carbapenemase-producing Enterobacteriaceae have become a major threat to public health, worldwide. Here we report clinically significant NDM-1 and VIM-1 producing Moellerella wisconsensis which has not yet been described in the literature; this is the first report of M. wisconsensis strain harbouring blaNDM-1 and blaVIM-1, recovered from the rectal swab of a low birth weight female child admitted in NICU of the north Indian tertiary care hospital. A plasmid of IncW incompatibility with size of 154 kb was observed in AK-92 strain.

scholarly journals Effectiveness of planned health education on knowledge of nurses working at tertiary care hospital regarding early detection of cancer cervix Karad, Western Maharashtra, India

2017 ◽  
Vol 7 (1) ◽  
pp. 173
Author(s):  
Sunita Tata ◽  
Radhika Joshi ◽  
A. Pratinidhi ◽  
Vaishali Vhaval ◽  
Simi Elsa Philip ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Care Hospital ◽  
Study Results ◽  
Post Test

Background: Cervical cancer is a major and devastating cause of mortality worldwide with an estimated global incidence of 5 lakhs new cases and 2.7 lakhs deaths annually among women. The objective of this study was to assess the existing level of knowledge and to determine the effectiveness of planned health education among the nurses regarding early detection and prevention of ca cervix.Methods: Evaluative approach with Quasi experimental one group pre-test-post-test design was used.168 sample were selected with simple random sampling technique, who those are working in tertiary care hospital, Karad. A pre-test given related to cervical cancer questionnaires followed by planned health education imparted for the duration of 45 minutes. Post-test using the same questionnaire were conducted after 7 days.Results: The study results showed that, the planned health education was effective in increasing the knowledge at the level of P <0.001.Conclusions: It is seen that training of nurses less than 30 years, even with lesser experience lesser than 5 years and with unmarried status benefited most. In service education training at the time of induction program and also frequently to refresh to sensitize the nurses with updating knowledge is recommended so that they can motivate the symptomatic and asymptomatic women who those are attending hospital as an outdoor patient or coming with the indoor patient as caretakers.

scholarly journals How safe is Covishield (ChAdOx1nCoV-19) vaccine? Experience from a tertiary care hospital in South India

2021 ◽  
Author(s):  
Leeberk Raja Inbaraj ◽  
Carolin Elizabeth George ◽  
Nirupama Navamani Franklyn
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Real Life ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Self Report ◽  
Vaccine Hesitancy ◽  
Common Symptom ◽  
Care Hospital ◽  
Cross Sectional

AbstractBackgroundCOVID vaccine has been recently rolled out for Health care workers in India. Though vaccine trials and data are available, people, including HCWs, need more real-life data from their contexts to get over the vaccine hesitancy. We aimed to determine the incidence of Adverse Event Following Immunisation (AEFI) among HCWs after their first dose of ChAdOx1nCoV-19 vaccineMethodsWe conducted a cross-sectional study among 218 staff of a tertiary care hospital. We circulated a google form with informed consent on the hospital WhatsApp platform and asked them to self-report their vaccination experience.ResultsTwo thirds (69.7% (152/218), 95% CI: 63.1-75.7) had minor AEFI, and none had severe AEFI. Body ache (46.8% (102/218), 95% CI :40 – 53.6) was the most common symptom followed by headache (30.3% (66/218), 95% CI :24.2 – 36.8) and fever (22% 948/218), 95% CI :16.7 – 28.1). Most of them (39.4% (87/218) 95% CI:32.9 – 46.2) experienced symptoms within 4-24 hours after taking the vaccine while 22.3% (49/218) (95% CI: 17.1 – 28.6) experienced it after a day. Majority of the HCWs (78.9% (172/218), 95% CI: 72.8 – 84.1) were anxious before the vaccination. Younger age group and female gender were significantly associated with AEFI compared to their counterparts.ConclusionHCWs experienced minor, self-limiting AEFI with the first dose of ChAdOx1nCoV-19. The hospital reported no serious AEFI following the vaccination

scholarly journals A study of maternal factors influencing birth weight in newborn in a tertiary care hospital

2021 ◽  
Vol 8 (11) ◽  
pp. 1810
Author(s):  
Anu M. S. ◽  
Aravinth Senguttuvan ◽  
Dheepane K. ◽  
N. S. Raghupathy
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Birth Weight ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Maternal Factors ◽  
Factors Influencing ◽  
Mother’S Age

Background: Low birth weight (LBW) is a major public health problem which needs to be addressed. The maternal factors play a major role in the child’s weight. The main aim is to identify the risk factors in the mother and appropriately manage so as to reduce the effects on children. Aim was to study the maternal risk factors influencing the weight of the baby in a tertiary care hospital at Pondicherry.Methods: A total of 225 babies were included in the study. Birth weight was recorded within 30 minutes after birth. Mother’s details were collected using a questionnaire. The collected data was analyzed using statistical package for the social sciences (SPSS) version 21.Results: A total of 225 babies and their mothers were enrolled in the study where 124 were males and 101 were females. 204 were term and 21 were preterm. Mean age of the mothers was 22.52±3.33 years, mean weight noted was 62.94±10.09 kg and mean height was 160.1±7.15 cm. The study showed associations between birth weight and mother’s age, weight, height, hemoglobin (Hb) %, birth interval, income, bad obstetric history and complications.Conclusions: This study concluded that maternal factors are associated with birth weight owing to mother’s age, weight, height, anemia, birth interval, bad obstetric history with complications and family income. This calls for better management of mothers at the initial stages of pregnancy to reduce LBW and morbidity and mortality. Health education and large-scale awareness programs implementation can reduce and prevent this public health problem.

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