scholarly journals Utilization of antenatal services in urban slums of Jorhat municipality, Assam, India and the socio - demographic factors affecting it

Author(s):  
Syeda Jesmin Rahman ◽  
Anuradha Hazarika Medhi

Background: Antenatal service is an important strategy for improvement of maternal and child health, reduction of maternal mortality and neonatal death. But mere presence of this service is not enough. Utilization of the antenatal service is the most important aspect and there are many socio demographic factors that influence the women for its utilization. The objective of the study is to assess the utilization of antenatal services in the urban slums of Jorhat municipality, Assam and the socio - demographic factors affecting it.Methods: A community based cross-sectional study was done among women of the slum areas who had at least a child less than one year by using a pre structured and predesigned questionnaire.  Results: Adequate utilization of antenatal service was 19% while inadequate utilization was 66%. 74.2% of women had at least one dose of TT and 87.2 % consumed Iron and Folic Acid tablets for four months or more. Women who were high school and above had either adequate (13.2%) or inadequate utilization (81.1%) and only 5.7% of them did not have any antenatal service at all as compared to 37.5% among illiterates. Religion, caste, age of the women, parity did not have much role in its utilization. Among women from the joint families who did not have any antenatal service was only 4.8% as compared to 19.2% of women from nuclear families.  Conclusions: Majority of women had inadequate utilization of antenatal service in the slum areas and education played a very important role. Key words: Utilization, antenatal services, slum area.

2021 ◽  
Vol 71 (4) ◽  
pp. 1304-07
Author(s):  
Omer Sultan ◽  
Muhammad Khalid ◽  
Muhammad Hammad Athar

Objective: To determine the frequency of erectile dysfunction among the patients of asthma and analyze the associated socio demographic factors. Study Design: Cross sectional study. Place and Duration of Study: Department of Medicine, Pak Emirates Military Hospital Rawalpindi, from Oct to Dec 2018. Methodology: One hundred and fifty seven patients of asthma diagnosed for more than one year by a consultant medical specialist or pulmonologist were included in the study. Erectile dysfunction was assessed by using the International Index of Erectile Function-5 (IIEF-5). Results: Out of 157 patients of asthma, 74 (47.1%) had no erectile dysfunction, 50 (31.8%) had mild, 17 (10.8%) had mild to moderate, 11 (7.1%) had moderate and 5 (3.2%) had severe erectile dysfunction. Mean age of the study participants was 41.74 ± 3.16. Mean duration of asthma among the patients in this study was 5.98 ± 4.38 years. Poly-pharmacy and long duration of illness had significant association with erectile dysfunction (p-value<0.05). Conclusion: There is a high frequency of erectile dysfunction among the patients suffering from asthma. Chronic illness when not under adequate control for a long time or is under control with poly pharmacy might give rise to problems which may be more troublesome than the primary illness.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Lutango D. Simangwa ◽  
Anne N. Åstrøm ◽  
Anders Johansson ◽  
Irene K. Minja ◽  
Ann-Katrin Johansson

Author(s):  
Tanveer Bano ◽  
Abhishek Agarwal ◽  
Sunil Kumar Garg ◽  
Harivansh Chopra ◽  
Seema Jain ◽  
...  

Background: Iron deficiency anaemia constitutes more than half of the anaemia burden among the under 5 children. In addition to socio-demographic factors, the maternal factors plays an important role in determining childhood anaemia. The objective of the study was to determine the prevalence of anaemia among 1-3 year old children and to find their association with maternal factors.Methods: The present cross sectional study was conducted in a sub centre village under Machhra CHC. Sample size was calculated as 182 by taking the prevalence of anaemia as 79% with 7.5% relative precision and 95% confidence interval. From the list of 404 children obtained from MCTS data, 200 children were selected randomly. Detailed information regarding socio demographic factors and maternal factors was obtained on a pre tested and pre designed questionnaire. Hemoglobin levels were estimated using haemo check rapid diagnostic kit. The data was collected and analyzed on epi info 3.7.2 using appropriate statistical tests.Results: Out of 200 children 77.5% of them were suffering from mild to severe anaemia. Among all the maternal factors studied maternal education, iron folic acid consumption during pregnancy, birth order of the index case and history of exclusive breast feeding were found to be significantly associated with prevalence of anaemia among the children.Conclusions: The present study revealed a high prevalence of anaemia in children and maternal factors plays an important role in determining the disease. 


2013 ◽  
Vol 142 (2) ◽  
pp. 314-326 ◽  
Author(s):  
S. KANUNGO ◽  
T. MAHAPATRA ◽  
B. BHADURI ◽  
S. MAHAPATRA ◽  
N. D. CHAKRABORTY ◽  
...  

SUMMARYDiarrhoeal management practices are unsatisfactory in India especially in the slum areas. Dearth of information regarding physicians' diarrhoea-related knowledge and practice in India ncessitated this cross-sectional study of allopathic practitioners in the slums of Kolkata, to assess the distribution and interrelationship between physicians' characteristics, knowledge and practice regarding diarrhoea. A total of 264 randomly selected consenting practitioners were interviewed using a field-tested questionnaire. Nineteen percent had good overall knowledge, 49% and 80% prescribed antibiotics to diarrhoea and cholera patients, respectively, and 55% advised stool examination for every case. Qualified and Government physicians had better knowledge regarding diarrhoea [MBBS: odds ratio (OR) 5·96, P < 0·001; postgraduates: OR 9·33, P < 0·001; Government physicians: OR 11·49, P < 0·0001] and were less likely to prescribe antibiotics for all diarrhoea cases (MBBS: OR 0·30, P = 0·002; postgraduates: OR 0·20, P < 0·001; Government physicians OR 0·24, P < 0·029). Better knowledge was associated with a lower likelihood of prescribing antibiotics for diarrhoea (OR 0·72, P < 0·001), cholera (OR 0·78, P = 0·027) and investigative procedure (OR 0·85, P = 0·028). In the slums of Kolkata, diarrhoea-related knowledge and practice were poor with the exception of qualified physicians, hence an improvement in the knowledge of pharmacists and unqualified practitioners is necessary for the overall improvement of diarrhoeal management in these slums.


2015 ◽  
Vol 115 (1) ◽  
pp. 185-192 ◽  
Author(s):  
Joanna Kowalkowska ◽  
Rui Poínhos ◽  
Bela Franchini ◽  
Cláudia Afonso ◽  
Flora Correia ◽  
...  

AbstractThe aims of this study were: (i) to estimate the dependency between BMI and waist:height ratio (WHtR) as measures of general and abdominal adiposity, and (ii) to evaluate the influence of socio-demographic factors on both measures and on their dependency in risk classification. Data from a cross-sectional study conducted in 2009 among a representative sample of 3529 Portuguese adults were used. Height, weight and waist were measured and socio-demographic data (sex, age, education level, occupational status, marital status, region of residence) were obtained. Using logistic regression, crude and adjusted OR for high general (BMI≥25·0 kg/m2) and abdominal (WHtR≥0·5) adiposity, and for incompatible classification between them, were calculated. Above half (50·8 %) of the respondents had high BMI and 42·1 % had high WHtR, and the rates were higher in men than in women. There was an inverse association between education level and both adiposity measures. The lowest prevalence of high general and abdominal adiposity was observed in students and singles, whereas the highest was found in retired, widowed and respondents from Azores, Madeira and Alentejo. Nearly a quarter of respondents (24·0 %) were incompatibly classified by BMI and WHtR, with higher prevalence in men than in women and in low- than in high-educated people. Future surveys should focus on developing at least sex-specific cut-offs for both measures. Implementation of effective strategies for preventing and reducing high adiposity levels in Portugal should be directed primarily to men, older, low-educated individuals, as well as those living in the islands and poor regions of the country.


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