scholarly journals Acceptability of home fortification with multiple micro-nutrients among Sri Lankan children

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261516
Author(s):  
G. Liyanage ◽  
K. G. I. S. Anupama ◽  
M. L. P. Sudarshini

Micronutrient deficiencies are mostly hidden; clinically less visible compared to macronutrient deficiencies. Food fortification with multiple micronutrients (MMN) is provided for children between 6–23 months, daily for two months at three-time points. We assessed the acceptance and adherence of this nutritional intervention in an urban community setting in Sri Lanka. This cross-sectional study enrolled caregivers of children aged 7 to 23 months with a cluster sampling method. Caregivers ’ acceptance of taste and smell, health gains, ease of use, and need perception (Cronbach’s reliability: 0.801) were assessed. Also, anemia knowledge (Cronbach’s reliability: 0.642), MMN knowledge, and reported adherence (number of sachets consumed per month) were evaluated through a self-administered questionnaire. Adequate adherence was defined as the use of ≥80% sachets. The univariate and multivariate statistical analysis examined the association of acceptability, adherence, and anemia knowledge with independent variables (socio-demographic, household characteristics, and knowledge). The survey included 153 respondents. The Median (range) age of children was 12 months (7–23). The mean (SD) acceptability score was 66.82% (9.78%). Acceptance of sensory qualities (smell/taste) had a lower score than perceived health benefit. Most consumed MMN adequately (72.5%). The mean (SD) anemia knowledge score was 62.20% (25.79%). In multivariate analysis, child’s age (OR: -0.360, 95% CI:-0.510,-0.211) and father’s education (OR: 2.148, 95% CI: 0.439, 3.857) were independently associated with acceptability. Child’s age (OR: -0.108, 95% CI:0.818, 0.985), anemia knowledge (OR:0.016, 95% CI: 1.003, 1.031) and acceptability (OR:0.236, 95% CI:1.140, 1.406) were significant determinants of adherence. Anemia knowledge was significantly associated with the mother’s education and household income when adjusted. In conclusion, unpleasant smell/taste and daily schedule were reported as barriers to MMN use. Yet, perception and trust regarding health benefits were encouraging. Reported adherence was somewhat high. Improving acceptability and anemia knowledge could enhance adherence further in this population.

2016 ◽  
Vol 06 (02) ◽  
pp. 014-016
Author(s):  
Mamta Choudhary

Abstract Background: Reproductive tract infections form one of the major burdens of disease in developing countries. Most of the women suffer from leucorrhoea and do not present themselves for seeking medical treatment in early stage as the women has poor understanding regarding leucorrhoea. Objectives: To assess the knowledge of females regarding leucorrhoea. Study Design: Cross- sectional study. Materials and Methods: The study involved collection of information regarding knowledge of females about leucorrhoeausingmultiple-choice questionnaire. Two hundred and fifty females residing in Model Town, Ludhiana were recruited in the study by using convenient sampling. Results: The result revealed that only 20% of subjects had good level of knowledge, and 80% subject had poor level of knowledge regarding leucorrhoea. The mean knowledge score regarding leucorrhoea among subjects was 19 with a standard deviation of 3.94. The highest mean knowledge score of 19.5 + 4.69 was in the age group of >35 years.


2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Jinky Leilanie Lu

This was a cross-sectional study that investigated pesticide exposure and its risk factors targeting vegetable farmers selected through cluster sampling. The sampling size calculated with was 211 vegetable farmers and 37 farms. The mean usage of pesticide was 21.35 liters. Risk factors included damaged backpack sprayer (34.7%), spills on hands (31.8%), and spraying against the wind (58%). The top 3 pesticides used were pyrethroid (46.4%), organophosphates (24.2%), and carbamates (21.3%). Those who were exposed to fungicides and insecticides also had higher total pesticide exposure. Furthermore, a farmer who was a pesticide applicator, mixer, loader, and who had not been given instructions through training was at risk of having higher pesticide exposure. The most prevalent symptoms were headache (64.1%), muscle pain (61.1%), cough (45.5%), weakness (42.4%), eye pain (39.9%), chest pain (37.4%), and eye redness (33.8%). The data can be used for the formulation of an integrated program on safety and health in the vegetable industry.


Author(s):  
Ghaida Aziz, Ghaida jabri, Ghaida Al-Ahmadi, Mona Ehab, Marw

Breast feeding (BF) is known to have many advantages but our Arab region has a pattern similar to western countries; where exclusive breastfeeding less than 35%. Knowledge given to women during her antenatal visits plays an important influential role in her attitude and practice of BF later on.  Objective: To explore knowledge and attitude of female medical students at Taibah University about breastfeeding.  Methods: A Cross sectional study was carried out from October to November 2012. It included female medical students. Stratified sampling allocation technique was used; with a total sample of 149 students. A specialty designed self-administrated questionnaire in Arabic form was used. It included socio-demographic data, obstetric history, data about the knowledge and attitude of female medical students towards breastfeeding value and guidelines. Mean percent knowledge score for value of BF, mean percent score for BF guidelines and mean percent score for attitude were calculated. Appropriate statistical tests for qualitative and quantitative data were used accordingly. Results: Majority (91.9%) (of the studied sample) was never married and 37.6% got their knowledge about BF via books. Regarding ever married women, 58.3% only were gravid (mean =2.2±1.94). Only 25.0% were family planning users; 66.7% of them used hormonal contraceptives. Only 20% breast fed their infants with a mean duration for exclusive BF of 3.8 ± 2.87 months and mean age of weaning of 2.3 ±0.63 months. The mean knowledge percent score for guidelines of BF was 64.7±8.45. The mean attitude percent score for concepts related to BF was 76.9±7.91. Conclusion: Media and internet have minor roles in getting knowledge about BF. The mean knowledge score about advantages of BF, guidelines of BF and attitude towards BF of all female medical students; especially academic years were unsatisfactory.


Author(s):  
Krutarth R. Brahmbhatt ◽  
Amul B. Patel

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.  


Author(s):  
S. Deepa ◽  
Twinkle Agrawal ◽  
Teny Attokaran ◽  
Farah Naaz Fathima ◽  
Avita Rose Johnson

Background: Millions of women face significant barriers in menstrual hygiene management due to inadequate awareness, misconceptions and erroneous practices. The objectives of the study were to assess the awareness, perceptions and practices regarding menstruation and their associated factors among youth of a peri-urban college in Bangalore Urban district.Methods: A cross-sectional study was conducted among both male and female students studying in a degree college. A pre-designed, face-validated structured questionnaire was administered to all students present on the day of the study.Results: Of the 758 students, 372 (49.1%) were male and 386 (50.9%) were female. The mean age was 19.35±1.40 years. A consolidated score above 50% i.e. 07/14 was considered adequate for knowledge. The mean knowledge score was 7.51±2.52. Overall 389 (51.3%) students had adequate knowledge. Awareness levels were significantly better among females (72.3%) than males (29.6%). Among the female students, 384 (99.5%) were aware of sanitary napkins, 165 (42.7%) of menstrual cup, 12 (3.1%) of tampon and 254 (65.8%) of reusable cloth, however majority (96.9%) preferred use of sanitary napkins. Among the female students, 42.6% were expected to follow some social and cultural restrictions during menstruation. Main source of information regarding menstruation and various menstrual products was internet. Misconceptions documented regarding menstruation included the belief that menstrual blood is poisonous (75.2%). Positive attitude towards menstruation was low both among male students (21.5%) and female students (48.4%).Conclusions: Awareness levels were poor among males than females. Practices regarding menstrual hygiene were adequate. However, misconceptions were widely prevalent among both genders indicating the need for health education among college-going childhood.


2020 ◽  
Author(s):  
Vicent Bankanie ◽  
Anne Outwater ◽  
Li Wang ◽  
Li Yinglan

Abstract Background: Implementation of evidence-based guidelines (EBGs) related to VAP is an effective measure for the prevention of ventilator-associated pneumonia (VAP). While low knowledge regarding the EBGs related to VAP prevention among ICU nurses is still a major concern among nurses in ICUs globally, the situation in Tanzania is scarcely known. This study aimed to assess the ICU nurses’ knowledge, compliance, and barriers toward evidence-based guidelines for the prevention of VAP in Tanzania.Methods: A cross-sectional study, involving ICU nurses of major hospitals in Tanzania, was conducted. A structured questionnaire was administered among 116 ICU. Data analysis included descriptive statistics and independent t-test.Results: The mean knowledge score was 38.6% which is lower than the lowest ever reported knowledge score for EBGs for VAP prevention. Nurses with a degree or higher level of nursing education performed significantly better than the nurses with a diploma or lower level of nursing education(p=0.004). The mean self-reported adherence score for EBGs for the prevention of VAP was 60.8%. The main barriers to the implementation of EBGs for VAP prevention were lack of skills (96.6%), lack of adequate staff (95.5%), and lack of knowledge (79.3%).Conclusion: Considering the severity and impact of VAP, and the higher risks of HAIs in resource-limited countries like Tanzania, the lower level of knowledge and compliance implies the need for on-going educational interventions and evaluation of the implementation of the EBGs for VAP prevention by considering the local context.


2021 ◽  
Vol 6 (2) ◽  
pp. 108-116
Author(s):  
Ch. O. V. Nagateja ◽  
P. Bhavya Sree ◽  
G. Padma Sri

Background: The World Health Organization (WHO) declared covid-19 as a pandemic on 11th march 2020. Since no treatment is available, following preventive measures is only the effective way to stop the spread of covid-19. This study aimed to assess knowledge regarding covid-19 and its preventive measures and to create awareness about covid-19 among healthcare students and non-healthcare students. Methods: An online cross sectional study was conducted in 2 months i.e., from 1st Aug. 2020 to 30th Sept. 2020 among healthcare students and non-health care students. To determine the scoring of questionnaire, mean of knowledge scores and standard deviation were calculated. Results: A total of 766 students were participated in this study. The age of participants ranged from 18 to 23. Males were 496 and females were 270. Health care students were 423 and 343 students are non-health care students. Overall knowledge about covid-19 infection was good among 480 students, average among 183 students and was poor among 103 students. The mean knowledge score of healthcare students (8.41) is higher than non-health care students (6.11) towards covid-19 infection and its preventive measures. Conclusion: This study reveals that majority of the students were knowledgeable about covid-19 infection and its preventive measures. The mean knowledge score of healthcare students (8.41) is higher than non-health care students (6.11) indicating that the health care students have more knowledge. Though the overall knowledge on covid-19 was good enough among health care students and non-health care students, still there is a need for education to increase knowledge especially among non-health care students. Keywords: SARS-COV 2 virus, Covid-19 infection, health care students, non-healthcare students, knowledge, awareness, India.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Zhang Qiao ◽  
Shi Li-xing ◽  
Peng Nian-chun ◽  
Xu Shu-jing ◽  
Zhang Miao ◽  
...  

Objective. To evaluate vitamin D status and serum parathyroid hormone (IPTH) of healthy adults living in Guiyang.Design and Participants. We conducted a cross-sectional evaluation in the General Community in Guiyang by cluster sampling method. The data was a part of 1510 participants (634 men, 876 women) aged 20–79 years median 45.2 years from November 2009 to February 2010 in Guiyang Health Measures Survey.Measurements. Aradioimmunoassay was used to measure the level of 25-hydroxyvitamin D [25(OH)D] and intact parathyroid hormone (iPTH).Results.The mean serum 25(OH)D level was (20.4 ± 9.0) ng/mL and the highest level among participants aged 40–59 years (22.8 ng/mL). The mean serum PTH level was (32.1 ± 13.7) pg/mL and the lowest level among participants aged 40–50 years (30.8 ng/mL). Serum 25(OH)D was below 50 nmol/liter in 52.3%, below 75 nmol/liter in 84.6%, and above 75 nmol/liter in 15.4% of the respondents. Secondary hyperparathyroidism was 5.4% (5.4% among men and 4.6% among women). The prevalence of secondary hyperparathyroidism increased (5.8%, 6.5%, and 7.1%, resp.) with decreasing serum 25(OH)D levels among subjects who were 30 to 20, 19.9 to 10, and <10 ng/mL, respectively. Serum 25(OH)D was inversely associated with serum PTH.Conclusions. Vitamin D insufficiency and its complication of secondary hyperparathyroidism are common.


2017 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Osemene Kanayo Patrick ◽  
Afolabi Margaret Olubunmi

Studies on pharmacovigilance (PV) activities in Nigeria focused on perceptions of PV among professional healthcare workers are described here. There is paucity of information on pharmacy students’ knowledge about PV activities. Hence, this study, evaluated the knowledge and perceptions of final year pharmacy students about PV activities using descriptive and inferential statistics. A cross sectional study was undertaken in three Nigerian universities with a pretested questionnaire during the period of January and February, 2016. The questionnaire included closed-ended questions on demographic variables and questions designed to achieve the objectives of the study. Data was analyzed with IBM SPSS Statistics 20 and presented in percentages, means, standard deviations and median at 50% percentile. The mean knowledge score of pharmacovigilance and adverse drug reporting for the final year students was 4.25±0.18. There were significant differences in the mean scores of knowledge domain by age groups 21-24 years 4.8±0.70, 25-30 years 6.2 ± 0.84 and >30 years 4.6±0.72 at p=0.001; gender: male 4.1±1.20 and female 4.4±0.98 at (p=0.0001) as well as the current universities attended as follows University 1 with a scrore of 5.1±1.03, University 2 had a mean score of 6.3±0.99 at p=0.0120 and University 3 with a mean score of 4.3±1.01 at p=0.012. Furthermore, significant difference exist in the mean values of pharmacovigilance knowledge between those who had taking some courses in pharmacovigilance (7.3± 0.22) and those who did not (4.7 ± 0.13) at p=0.0001. Generally, the students had inadequate knowledge of PV activities. Therefore, emphasis on relevant PV courses in their curriculum is necessary.Bangladesh Pharmaceutical Journal 20(1): 1-13, 2017


2004 ◽  
Vol 16 (2) ◽  
pp. 109-114 ◽  
Author(s):  
M.S. Sherina ◽  
L. Rampal ◽  
A. Mustaqim

Chronic illness is one of the major causes of mortality and morbidity among the elderly. To determine the prevalence and factors associated with chronic illness among the elderly in a rural community setting. A cross sectional study design was used. Stratified proportionate cluster sampling method was used to select respondents in Mukim Sepang, Sepang, Selangor, Malaysia. Out of 263 elderly residents (6.2% of the total population), 223 agreed to participate in the study giving a response rate of 84.8%. The prevalence of chronic illness among the elderly in Mukim Sepang was 60.1 %. Out of 223 respondents,134 were diagnosed as having chronic illness such as hypertension, diabetes mellitus, ischaemic heart disease, bronchial asthma or gout. Chronic illness was found to be significantly associated with functional dependence among the elderly (χ2=6.863, df=1, p<0.05). The prevalence of chronic illness among the elderly in the rural community is very high. Problems facing this age-group should be addressed comprehensively in order to formulate appropriate programmes for the health care of the elderly. Asia Pac J Public Health 2004; 16(2): 109-114.


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