scholarly journals Evaluation of the Directly Observed Treatment Short Course Program for Tuberculosis in Health Care Centers of Karachi: A Cross Sectional Study Highlighting the Problems Encountered

Author(s):  
Maheshwary N ◽  
Athar Khan M ◽  
Madeeha M ◽  
Anwar A
Author(s):  
Manoj Kumar Yadav ◽  
Mohit Raghav ◽  
S. S. Chaudhary ◽  
Manisha .

Background: Tuberculosis was the first infectious disease declared by the WHO as a global health emergency. Men are more commonly affected than women. The case notifications were higher in males than in females most countries. The objective of the study was to assess socio-demographic determinants of tuberculosis patients attending directly observed treatment short course (DOTS) centre in Urban Ghaziabad.Methods: This was an observational cross-sectional study. The study was carried out in selected DOTS centres of district Ghaziabad. 850 study subjects age group more than 15 years were included.  Multistage sampling was done. Numbers and percentage were used. SPSS version 13 was used for statistical analysis.Results: Majority 41.17% of tuberculosis (TB) patients belonged to 15-25 years age group. 30.58% patients were in 26-35 years age group followed by 23.52% in 36-45 years age group and least 4.70% were in >45 years age group. Majority 54.1% of TB patients were females that compared to 45.9% were males. Among tuberculosis patients majority 58.82% were married as compared to 40% were unmarried and least 1.18% were widow. 75.29% tuberculosis patients were Hindus as compared to 22.35 were Muslims and least 2.35% were Sikh/Christian. Among tuberculosis patients majority 44.71% were from nuclear family. 31.76% had joint family and least 23.53% had 3rd generation family.Conclusions: It was concluded that socio-demographic determinants were low. It was recommended to raise socioeconomic standard of population, give health education to improve personal habit and stop TB transmission. 


2021 ◽  
Author(s):  
Gassem Gohal ◽  
Mai Mohamed Elhassan Mustafa ◽  
Ali Ali Ahmed Al-makramani ◽  
Amani Ahmed ◽  
Mohamed Elsharief ◽  
...  

Abstract Background: Breastfeeding is considered the optimal infant feeding method with numerous benefits for both mother and infant. This study aims to assess breastfeeding Knowledge and determine barriers to exclusive breastfeeding among mothers attending the Primary Health Care Centers in Jazan City. The scope of this research is to suggest a strategy for encouraging mothers in Jazan for the crucial needs for exclusive breastfeeding and overcoming the barriers of breastfeeding.Methods: This is a descriptive cross-sectional study that included all mothers attending the PHC center. Data was collected through a self-administered questionnaire. SPSS was used for data analysis using the student T-test and ANOVA Test.Results: Most study participants understand breastfeeding's health benefits for babies and mothers, but most believe that synthetic milk is the best alternative for working mothers' to feed their babies. 66.7% of mothers practiced exclusive breastfeeding during the first six months of the child's life, and only 28.9% continued exclusive breastfeeding for six months. During the first six months of the child's life, exclusive breastfeeding shows a significant relationship with breastfeeding knowledge and barriers. Sixty percent of mothers have ever had any information about breastfeeding; those who knew the primary source were from their mothers and only 31.4% from hospital staff. Most of the respondents did not agree with the statements given to them as exclusive breastfeeding barriers, which grabs attention to an unexpected response.Conclusions: Most participants have good knowledge concerning breastfeeding benefits for both the mother and infants and disagreed on the mentioned barriers for exclusive breastfeeding that include lack of breastmilk, feel of Fatigue and tiredness, High household burdens, Father does not encourage breastfeeding, use of birth contraception, embarrassment of breastfeeding in public and in front of family members, lack of information and sufficient support and guidance on the importance of B.F., working conditions, bad smell of the nursing mother, transmission of diseases from mother to the child. Health care professionals should actively work hard to encourage mothers, raise their awareness and find the root cause for low exclusive breastfeeding practice rates.


2020 ◽  
Vol 86 (1) ◽  
Author(s):  
Ahmed Kharbach ◽  
Majdouline Obtel ◽  
Abderrahmane Achbani ◽  
Youssef Bouchriti ◽  
Kenza Hassouni ◽  
...  

2019 ◽  
Vol 46 (3) ◽  
pp. 74-79 ◽  
Author(s):  
Atiya Tasnim Muna ◽  
Kazi Shafiqul Halim ◽  
Bushra E Zannat Khan ◽  
Kazi Fardana Mostary ◽  
Md Safikul Islam ◽  
...  

Globally tuberculosis (TB) has become the leading cause of death from infectious diseases. Tuberculosis is a chronic infection and a person may suffer from tuberculosis and other chronic medical conditions at the same time. Co-occurrence of multiple chronic conditions in the same individual, known as multimorbidity (MM) is increasing worldwide. This cross-sectional study was carried out from January 2017 to December 2017 to reveal the extent of multimorbidity among tuberculosis cases. A TB case with multimorbidity was defined as TB with multimorbidity (TB-MM) subject. By convenient sampling, 227 tuberculosis cases from 8 Directly Observed Treatment, Short Course (DOTS) centers from Dhaka, Mymensingh and Netrokona districts were enrolled in this study. Among 227 tuberculosis cases 29 (12.8%) cases had multimorbidity (TB-MM subjects). Prevalence of multimorbidity was significantly higher in age group ≥40 years (p<0.001), male cases (p=0.034) and cases who had family income >30000 BDT/month (p=0.001), were currently smoker (p=0.028) and whose BCG scars were not seen (p<0.001). This study recommends that each TB case should be investigated for other chronic conditions to reveal the actual national magnitude of multimorbidity. Bangladesh Med J. 2017 Sep; 46 (3): 74-79


2019 ◽  
Vol 13 ◽  
pp. 117955651986933 ◽  
Author(s):  
Jose L Paredes ◽  
Rafaella Navarro ◽  
Maribel Riveros ◽  
Veronica Picon ◽  
Francisco Conde ◽  
...  

In pediatric patients, the antibiotic use is affected by parental beliefs and practices; especially in countries where it is possible to acquire them without prescription. This study aims to describe the knowledge, attitudes, and practices on antibiotic use among parents of children from urban and peri-urban health care centers in Lima. A cross-sectional study was performed at 1 urban and 2 peri-urban health care centers selected in Lima, Perú. Parents of children below the age of 3 years answered a knowledge-attitudes-practices-validated questionnaire about antibiotic use and were categorized as high, moderate, and low knowledge regarding antibiotics. We analyzed potential determinants for low knowledge and having medicated their children with unprescribed antibiotics using bivariate and multivariate analyses. A total of 224 parents were enrolled, and 8% were categorized as low knowledge. Half of the parents could not recognize that antibiotics cannot cure viral infections, 59.4% disagreed with “antibiotics speed up recovery from a cold,” and 53.2% stored antibiotics at home. Remarkably 23.5% of parents reported having medicated their children with antibiotics without prescription, which was associated with belonging to the peri-urban health care center, use of antibiotics by their children in the last 12 months, and having purchased antibiotics without physicians’ prescription. An alarming overuse of antibiotics without prescription was described among children below the age of 3 years. Educational interventions, addressing parental attitudes and practices, and health policies should be developed to limit inappropriate antibiotic use especially in peri-urban communities.


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