scholarly journals Breastfeeding counselling and support: is it adequate? a descriptive study from Rohtak, India

Author(s):  
Shweta Goswami ◽  
Pardeep Khanna ◽  
Ramesh Verma ◽  
Vinod Chayal ◽  
Varun Arora

Background: Antenatal breastfeeding education and motivation along with postnatal encouragement and lactation support are likely to improve rates of early initiation and exclusive breastfeeding. This study was done to know whether antenatal and postnatal visits were utilized for promotion of optimum breastfeeding in addition to the routine obstetric services.Methods: This descriptive cross-sectional type of community based epidemiological study was conducted in rural and urban field practice area attached to Department of Community Medicine, Pt. B. D. Sharma PGIMS, Rohtak. A total of 500 mothers were studied. A pre-tested semi-structured interview schedule was used for interviewing the study subjects and house to house visits were carried out to collect the information.Results: Health functionaries were the source of information in 49.6% mothers in urban area as compared to only 29.2% in rural areas. Breastfeeding related information was better in the mothers counseled by health functionaries than not counseled group.Conclusions: Health functionaries should be instructed to inform all pregnant women about the benefits and management of breastfeeding during antenatal as well as postnatal visits. Existing breastfeeding education and postnatal support is not adequate in the population studied and needs to be strengthened.

Author(s):  
Kalyan Chakravarthy Burra ◽  
Chandrashekhar Varaprasadrao Dimmala

Background: The attitude of parents towards their children’s health and illness is an important factor with regards to child’s overall development. In most developing countries, the health of the children is strongly dependent on parental healthcare behavior. This current study mainly looks into these aspects.Methods: A community based cross sectional study involving urban and rural area field practice areas of a medical college in the study period of November 2016-January 2017 with a sample size of 100 families each having children in urban and rural areas have been fixed purposively. House to house survey done by simple random method using pretested semi structured interview schedules.Results: Around 55% of rural parents took treatment from RMP (quacks) with 55% of urban counterparts opting for wait and watch method. Only 8% of respondents from both areas too their children to a pediatrician. About 12% of urban area went to government hospital and none from rural utilized government hospital facilities.Conclusions: Large proportions of respondents did not seek appropriate medical care for childhood illnesses. 


2020 ◽  
pp. 1-3
Author(s):  
B. M. Vashisht ◽  
Dhriti Bapna ◽  
Srishti Singh ◽  
Arup Saha ◽  
Manjeet Rathee ◽  
...  

Isolation is recommended for corona positive patients and their contacts are advised home quarantine. This study was planned to assess the practices followed during home quarantine/ isolation for COVID-19 pandemic among urban population in Rohtak, Haryana. A cross-sectional survey was conducted among 101 persons on home isolation or quarantine in urban field practice areas attached to the Department of Community Medicine of a tertiary care centre of Rohtak. A semi-structured interview schedule was used to obtain information from the participants through house to house visit. Data were analysed using Microsoft Excel version 2010 and Statistical Package for Social Sciences ver.24. 79.2% subjects on home quarantine/ isolation restricted their movement inside house. Face cover was used by 98% and correct hand washing technique was practised by 70.3% participants. Behaviour change communication activities need to be further strengthened to improve practices followed during home quarantine/ isolation.


2020 ◽  
Vol 4 (1) ◽  
pp. 32-38
Author(s):  
Laxmi Shrestha ◽  
Mina Kumari Ranabhat ◽  
Basanta Thapa ◽  
Radha Paudel

Introduction: Cervical cancer is one of the most prevalent cancer affecting women globally. It is the fourth most common cancer in women and the seventh overall. Cervical cancer can be cured and prevented by regular pelviccheck-up, screening test and vaccination against human papilloma virus. The objective of this study was to find out awareness regarding cervical cancer among women aged 18-49 years residing in Bharatpur MetropolitanCity-5, Chitwan. Methods: A community based descriptive cross-sectional research design was used, 186 women were selected using simple random sampling method. Structured interview schedule was used to collect the data within 2weeks. The collected data was entered in Epi data 3.1 and exported into IBM SPSS version 20. Data was analysed in terms of descriptive and inferential statistics. Results: The study revealed that 72.6% of the women were >30 years and 93% of women were literate, among them 35.2% had completed secondary level of education. It was found that only 28.0% of women had good level of awareness and 43.5% of them had poor level of awareness regarding cervical cancer. There was statistically significant relationship between level of awareness with age (p=0.029), ethnicity (p=0.013), marital status (p=0.018) and heard about organism that causes cervical cancer (p=<0.001). Conclusions: Based on the findings of the study, it is concluded that, almost half of the women have poor level of awareness regarding cervical cancer. Hence, there is need for community awareness program on cervical cancer, its screening and preventive measures through the medium of health personnel, friends and mass media.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ebrima Touray ◽  
Amadou Barrow ◽  
Bakary Kinteh ◽  
Mansour Badjie ◽  
Musa Nget ◽  
...  

Abstract Background Globally, immunization prevents 2–3 million deaths annually from vaccine-preventable diseases such as diphtheria, tetanus, pertussis, influenza, and measles. In developing countries, several immunization programs have made progress, but the coverage remains a standstill in some areas. In order to inform policies and practices, the present study aimed at assessing vaccination uptake and contextual-associated factors among children aged 12–23 months in rural Gambia. Methods A community-based triangulated cross-sectional design was conducted in January 2020, with 200 caregivers with children aged 12–23 months in selected households in rural communities across Upper River Region of the Gambia using multistage sampling technique were recruited. A structured interview questionnaire was developed and Infant Welfare Cards were assessed to elicit information regarding contextual household characteristics towards childhood immunization uptake. Percentages, chi-square/fisher exact test for variables with p-value ≤0.15 were considered for inclusion into logistic regression model. The significance level was set at p < 0.05. The adjusted Odds Ratio (aOR) with 95% Confidence Interval (CI) were reported to declare significance. Results The proportion of children who received all the required vaccines was 66%. At the level of antigen-specific coverage, about 88.5% received BCG, 71% received OPV 3, 82.5% received Penta 3, while 72 and 71% received Measles-Rubella and yellow fever, respectively. Caregivers who had primary education level 88.8% (aOR = 0.112; 95% CI = 0.029–0.434), secondary & above 87.2% (aOR = 0.128; 95% CI = 0.029, 0. 561) and arabic/madrassa 95.7% (aOR = 0.043; 95% CI = 0.008–1.227) were less likely to be fully vaccinated when compared to those who have never been to school. Farmers are less likely by 88.9% (aOR = 0.111; 95% CI 0.020, 0.635) while children from family size of more than 20 members had reduced odds (aOR = 0.420; 95% CI = 0.197, 0.894) for their children to complete their vaccination schedule as compared to those with at most 20 household members. Conclusion There is moderately a burden of incomplete vaccination in rural Gambia. Vaccination programs should be constantly monitored and evaluated by the Ministry of Health, especially in rural areas. To increase societal awareness and vaccine acceptance, a robust community-based health education efforts are desperately needed as part of initiatives to increase vaccine service utilization for these high-risk classes.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.


Author(s):  
Sabuj Kanti Mistry ◽  
Armm Mehrab Ali ◽  
Md. Ashfikur Rahman ◽  
Uday Narayan Yadav ◽  
Bhawna Gupta ◽  
...  

The present study explored the changes in tobacco use patterns during the COVID-19 pandemic and their correlates among older adults in Bangladesh. This cross-sectional study was conducted among 1032 older adults aged ≥60 years in Bangladesh through telephone interviews in October 2020. Participants’ characteristics and COVID-19-related information were gathered using a pretested semi-structured questionnaire. Participants were asked if they noted any change in their tobacco use patterns (smoking or smokeless tobacco) during the COVID-19 pandemic compared to pre-pandemic (6 months prior to the survey). Nearly half of the participants (45.6%) were current tobacco users, of whom 15.9% reported increased tobacco use during the COVID-19 pandemic and all others had no change in their tobacco use patterns. Tobacco use was significantly increased among the participants from rural areas, who had reduced communications during COVID-19 compared to pre-pandemic (OR = 2.76, 95%CI:1.51–5.03). Participants who were aged ≥70 years (OR = 0.33, 95% CI: 0.14–0.77), widowed (OR = 0.36, 95% CI: 0.13–1.00), had pre-existing, non-communicable, and/or chronic conditions (OR = 0.44, 95% CI: 0.25–0.78), and felt themselves at the highest risk of COVID-19 (OR = 0.31, 95% CI: 0.15–0.62), had significantly lower odds of increased tobacco use. Policy makers and practitioners need to focus on strengthening awareness and raising initiatives to avoid tobacco use during such a crisis period.


2011 ◽  
Vol 69 (2b) ◽  
pp. 342-348 ◽  
Author(s):  
S Stefanello ◽  
L Marín-Léon ◽  
P T Fernandes ◽  
L M Li ◽  
N J Botega

OBJECTIVE: To estimate the frequency of depression/anxiety and to establish the social, epilepsy and psychiatric characteristics in individuals with epilepsy. METHOD: A cross-sectional study was employed to evaluate 153 subjects with epilepsy who were identified in a previous community-based survey. First, a structured interview was conducted, followed by a psychiatric evaluation. Subjects with depression were compared to those without, and subjects with anxiety were compared to those without. RESULTS: The prevalence of anxiety and depression was 39.4 and 24.4%, respectively. Both were associated with low schooling (OR 3.8, 95% CI 1.6 to 9.0 and OR 2.8, 95% CI 1.2 to 6.5 for depression and anxiety, respectively), lifetime suicidal thoughts (OR 4.4, 95% CI 1.9 to 10.3 and OR 3.6, 95% CI 1.7 to 7.7) and lifetime suicide attempts (OR 9.3, 95% CI 2.6 to 32.8 and OR 6.9, 95% CI 1.8 to 26.4). CONCLUSION: The high rates of depression and anxiety reinforced the need for recognition and treatment of mental disorders in epilepsy.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Claudia Pileggi ◽  
Valentina Mascaro ◽  
Aida Bianco ◽  
Maria Pavia

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.


2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


Author(s):  
Anupam Dakua ◽  
Kalyan Ghadei

Aim: Land being the most important consideration in the social status in the rural areas, selling of them is considered as bad signs in India. Many times, it is observed that farmers were compelled to sell their lands due to manyreasons. Depeasantisation is one of them. In the current paper the land selling scenario of the Depeasantised persons is analysed. Study Design and Place of Study: An Ex-post-Facto study has been conducted in Nayagarh District of Odisha, which is one of the peri-urban districts of the Capital city of Odisha. Methodology: A total of 280 number of Depeasantised persons were selected randomly from 5 blocks out of 8 blocks of the district for the study. A structured interview schedule was prepared for collecting the data from the respondents. With proper statistical tools the data was analysed and interpreted for the result. The proportion of respondents sold land, category of farmers who sold land, the reason of land selling, and the persons to whom the land sold was found out during the investigation. Result: Almost half of the depeasantised persons have sold their lands, all of then have sold a portion of their lands only. More than 85 percent of the respondents belonged to the marginal farer category who had sold their lands. Debt repayment was the primary factor for selling of land in the study area. Most of the depeasantised persons more than 60 percent had sold their lands to landlords and other moneyed persons. Conclusion: To safeguard the interest of the farmers and to prevent the land selling of the small and marginal farmers government should have more focused approach to solve this issue.


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