Clubfoot treatment in 2015: a global perspective

IntroductionClubfoot affects around 174 000 children born annually, with approximately 90% of these in low-income and middle-income countries (LMIC). Untreated clubfoot causes life-long impairment, affecting individuals’ ability to walk and participate in society. The minimally invasive Ponseti treatment is highly effective and has grown in acceptance globally. The objective of this cross-sectional study is to quantify the numbers of countries providing services for clubfoot and children accessing these.MethodIn 2015–2016, expected cases of clubfoot were calculated for all countries, using an incidence rate of 1.24/1000 births. Informants were sought from all LMIC, and participants completed a standardised survey about services for clubfoot in their countries in 2015. Data collected were analysed using simple numerical analysis, country coverage levels, trends over time and by income group. Qualitative data were analysed thematically.ResultsResponses were received from 55 countries, in which 79% of all expected cases of clubfoot were born. More than 24 000 children with clubfoot were enrolled for Ponseti treatment in 2015. Coverage was less than 25% in the majority of countries. There were higher levels of response and coverage within the lowest income country group. 31 countries reported a national programme for clubfoot, with the majority provided through public–private partnerships.ConclusionThis is the first study to describe global provision of, and access to, treatment services for children with clubfoot. The numbers of children accessing Ponseti treatment for clubfoot in LMIC has risen steadily since 2005. However, coverage remains low, and we estimate that less than 15% of children born with clubfoot in LMIC start treatment. More action to promote the rollout of national clubfoot programmes, build capacity for treatment and enable access and adherence to treatment in order to radically increase coverage and effectiveness is essential and urgent in order to prevent permanent disability caused by clubfoot.

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Inpatients’ experience and the associated factors: A cross-sectional study at Lung hospital, Son La, in 2020

Journal of Health and Development Studies ◽

10.38148/jhds.0504skpt21-007 ◽

2021 ◽

Vol 05 (04) ◽

pp. 110-116

Author(s):

Huu Thang Nguyen ◽

◽

Thi Nguyet Minh Doan ◽

Thanh Huong Tran ◽

Hai Thanh Pham

Keyword(s):

Low Income ◽

Associated Factors ◽

Income Group ◽

Cross Sectional Study ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Middle Income ◽

Medical Facilities ◽

Middle Income Group

Objectives: Medical facilities with an autonomous tendency always try to serve positive and pleasant experiences to improve the brand name, increase patient satisfaction and loyalty. A descriptive cross-sectional study was conducted on 245 inpatients at Lung Hospital in Son La province in 2020. To describe the current situation of the inpatient's experience at Lung Hospital in Son La province by 2020 and its related factors. Methods: This was a cross-sectional study conducted on 245 inpatients at Son La Lung Hospital Results: The study showed that the total score of inpatients’ experience ranged from 22 points to 57 points and the mean of it was 39.7 (6.13) points. Subject's experience scores were divided into 2 groups, the satisfied group accounted for 32.7% and the percentage of the unsatisfied group was 67.3%. As compared to men, a higher total score of women was (OR: 1.134; 95% CI: 0.284-0.997). The urban area group’s score was 1,190 times higher than that of those who live in rural and mountainous areas (95% CI: 1,010 - 1,400). The middle-income group had more positive experience than the low-income group (OR: 1.180; 95% CI: 1.010 - 1.370). Conclusions: Our research showed that gender, living area and economic condition affected the total score of inpatients’ experience at the Lung hospital. Keywords: Patient experiences, inpatient treatment, hospital, associated factors

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Prevalence of substance use in Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v32i1.53043 ◽

2020 ◽

Vol 32 (1) ◽

pp. 1-8

Author(s):

Md Faruq Alam ◽

Mekhala Sarkar ◽

Mohammad Tariqul Alam ◽

Helal Uddin Ahmed ◽

Avra Das Bhowmik ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Low Income ◽

Sampling Technique ◽

Income Group ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Statistical Parameters ◽

Cross Sectional ◽

Middle Income

The prevalence of substance use is on rising trend in the country. This two-stage nationwide multicentric community based cross sectional study was conducted by National Institute of Mental Health (NIMH), Dhaka during the period of September 2017 to July 2018 to determine the prevalence of substance use as well as to identify the proportion of users used different substances and to find out socio-demographic correlates of substance use in Bangladesh. The sample were collected by cluster sampling technique. In the first stage data were collected from 19692 respondents aged between 7 years and above in 140 clusters through face-to-face interview using semi-structured questionnaires to collect information by trained data collector. Diagnoses of substance use were made in the second stage of interview by research psychiatrists following DSM-5 diagnostic criteria of mental disorders. Descriptive and inferential statistics of the collected data was done using standard statistical parameters. SPSS programme (Version 23) was used to summarize and to analyze the data. The results showed that, the prevalence of substance use was found as 3.3% among the population 18 years and above. Prevalence of substance use was 4.8% in male and 0.6% in female. Most frequently used substances include cannabis in (42.7%), alcohol in 27.5%, amphetamine (yaba) in 15.2%, opioid in 5.3% and sleeping pills in 3.4% users. Among professions of substance users 6.7% were labors, 5.7% unemployed, 4.3% business men, 3.8% farmers and 3.5% service holders. Extremes of social classes were found as increased users of substances such as people with low income 3.2% and people with high income 3.8% using as against 2.6% in middle income group. The data of this community survey will be used for planning of mental health services in Bangladesh. Bang J Psychiatry June 2018; 32(1): 1-8

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State of deworming coverage and equity in low-income and middle-income countries using household health surveys: a spatiotemporal cross-sectional study

The Lancet Global Health ◽

10.1016/s2214-109x(19)30413-9 ◽

2019 ◽

Vol 7 (11) ◽

pp. e1511-e1520 ◽

Cited By ~ 5

Author(s):

Nathan C Lo ◽

Sam Heft-Neal ◽

Jean T Coulibaly ◽

Leslie Leonard ◽

Eran Bendavid ◽

...

Keyword(s):

Low Income ◽

Health Surveys ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Middle Income ◽

Middle Income Countries

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Association of Malnutrition and Socioeconomic Status in Dental Caries – A Cross Sectional Study

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-8-1-12 ◽

2014 ◽

Vol 8 (1) ◽

pp. 12-15 ◽

Cited By ~ 2

Author(s):

VC Punitha ◽

P Sivaprakasam

Keyword(s):

Socioeconomic Status ◽

Dental Caries ◽

Nutritional Status ◽

Low Income ◽

Income Group ◽

Cross Sectional Study ◽

Cross Sectional ◽

Middle Income ◽

Significant Difference ◽

Middle Income Group

ABSTRACT The objective Of this study was to assess the association of nutritional status and socio economic status in dental caries among rural children. Methods Children of age 6 – 10 yrs (n = 120) from government schools in two villages of Kanchipuram district were the study subjects. The children's nutritional status was assessed by means of anthropometric measurements. Body Mass Index using weight and height of children was evaluated using the reference standard of the WHO 2007. The socioeconomic status was assessed based on education, occupation and material possession. The children's oral cavity was screened for decayed and filled teeth (dft index) Results Nutritional assessment showed that 66.7% were malnourished. Female children (71.7%) were more malnourished than males (62.2%) with no significant difference between them. Children belonging to the low income group were more malnourished (74.7%) than children of middle income group (53.3%) (p = 0.01). The prevalence of caries in this population was 60% with mean dft index score of 1.7. Caries occurrence was more in the low income group (61.3%) than middle income group (57.8%) with no significant difference between the two groups (p=0.70). Comparing the caries occurrence between the malnourished children and the normal weight children it was seen that the caries occurrence was less in the malnourished children (p=0.23) Conclusion This cross sectional study concludes that malnutrition is not associated with dental caries and socioeconomic status influences nutritional status of a child in this rural population.

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