scholarly journals Immunization status of children visiting a health centre in Uri, Jammu and Kashmir: reasons for drop-outs from immunization

2017 ◽  
Vol 4 (8) ◽  
pp. 2725
Author(s):  
Ankita Singh ◽  
K. P. S. Senger ◽  
Arvind K. Singh ◽  
Ajay K. Singh
Keyword(s):  
Gender Bias ◽  
Health Centre ◽  
Cost Effective ◽  
Primary Immunization ◽  
Cross Sectional ◽  
Jammu And Kashmir ◽  
Immunization Status ◽  
Parental Refusal ◽  
Low Coverage ◽  
Drop Outs

Background: Immunization is one of the most powerful and cost effective tools available to improve public and global health and is essential for every child’s life. This study aims to estimate the immunization status and factors effecting drop-outs from immunization in children residing in Uri, Jammu & Kashmir. Methods: It is a cross-sectional descriptive study, with sample-size of 480 children between 12 to 23 months of age. Immunization status was assessed depending upon coverage of four important vaccines given during primary immunization. Results: The study showed that total primary immunization status of Uri was 58.12% with 91.2% OPV, 88.1% BCG, 72.5% DPT and 58.8% measles immunization (CI= 95%, p<0.05). Factors effecting drop-outs were distantly located health centre (27.9%), poor motivation (33.12%), lack of awareness (9.77%), and parental refusal (in case of OPV was 5.35%) (CI= 95%, p<0.05). Literate mothers were more likely to get their children completely immunized. Gender Bias wasn't observed. Conclusions: Findings suggest that immunization status needs to be improved by focussing on vaccines having low coverage (DPT and measles) by creating awareness and better out-reach facilities with the involvement of community workers. 

scholarly journals Factors Associated with Basic Immunization Status of Infants

2018 ◽  
Vol 4 (1) ◽  
pp. 32-39
Author(s):  
Dewi Novitasari Suhaid ◽  
Fransisca Faranita
Keyword(s):  
Data Analysis ◽  
Cross Sectional Study ◽  
Education Level ◽  
Dominant Factor ◽  
Primary Immunization ◽  
Chi Square ◽  
Cross Sectional ◽  
Immunization Status ◽  
Chi Square Test ◽  
Knowledge And Attitude

Immunization is an attempt to actively boost a person's immunity against a disease, so that if one day exposed to the disease will not get sick or just experience mild illness. Immunization is routinely divided into primary immunization and continued immunization. Basic immunization is given to infants aged 0 to 1 year, where as advanced immunization is a repeat immunization intended to maintain immunity level or to prolong the period of protection. Further immunization is given when primary immunization is given first, and is given at the age of toddlers and at school age. This research is cross-sectional study. The dependent variable in this study is the basic immunization status of infants, while the independent variables include age, education level, occupation, knowledge and attitude. The sample of this research is mothers with children aged 12-24 months totaling 250 respondents. Instrument of data collection using questionnaire and health record of baby. The data transformation uses the data normality test and Rasch model. Data analysis technique using Chi Square test and logistic regression test. The result of data analysis showed that there was a significant correlation between occupation (p <0,05, PR = 1,864; 95% CI = 1,121-3,097), education level (p <0,05; PR = 3,438; 95% CI = 1,671- 7,074), knowledge (p <0,05, PR = 2,653; 95% CI 1,580-4,455) and attitude (p <0,05, PR = 3,202; 95% CI = 1,897-5,405) with infant immunization status. Age has no significant relationship with the basic immunization status of infants. Conclusions coverage of basic infant immunization completeness in this area is still low that is equal to 42,4%. Attitude is the most dominant factor associated with the basic immunization status of infants.

scholarly journals Assessment of services rendered at village health and nutrition day in rural area of Kathua district, Jammu and Kashmir: cross-sectional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1544
Author(s):  
Sonika Sangra ◽  
Neha Choudhary
Keyword(s):  
Rural Area ◽  
Health Care Services ◽  
Health Centre ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Jammu And Kashmir ◽  
Health And Nutrition ◽  
Primary Health ◽  
Village Health

Background: Village health and nutrition days (VHNDs) are based on the principal of integration of services like nutrition, sanitation, health provision using a holistic approach. Days are organized once per week in each Anganwadi centre. These services are provided free of cost to rural people. The objective of the study was to assess services rendered at VHND in rural area of Kathua district, Jammu and Kashmir, India.Methods: The present study was descriptive cross-sectional in type, conducted in zone Budhi which is a field practice area of Department of Community Medicine, GMC Kathua. The zone Budhi consists of one primary health centre along with its six subcentres. One auxiliary nurse midwife (ANM) covered one VHND once a week. For a month, one ANM covered four VHNDs. So, out of 10 ANMs in Zone Budhi, 7 attended VHNDs with a maximum of 28 village health and nutrition days covered in a month.Results: All the ANMs made a micro-plan ahead of their visits and prepared a list of beneficiaries. Medical officers were available in 18 out of 28 sessions. ANM, anganwadi workers were available in majority of the sessions. Blood pressure apparatus and stethoscope were available in 60.71% and 67.85% sessions. In majority of sessions, the available items were weighing scales, vaccines with syringes, tablet Iron and folic acid. Services provided at the VHNDs were patients attended, pregnant women registered etc.Conclusions: Study revealed that performance of most of the sessions of VHNDs were satisfactory. So, efforts need to be initiated to fill all these gaps. And priority should be given to provide basic primary health care services to the beneficiaries. 

scholarly journals Pap smear in antenatal women: a valuable opportunity for screening and awareness

2020 ◽  
Vol 8 (4) ◽  
pp. 1213
Author(s):  
Rashmi Ahuja ◽  
Priyanka Sharma ◽  
Raina Chawla
Keyword(s):  
Pap Smear ◽  
Health Centre ◽  
Cost Effective ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Premalignant Lesions ◽  
Cancer Cervix ◽  
Cross Sectional ◽  
Pap Smear Test ◽  
History Of

Background: Pregnancy creates an important opportunity to screen the cervix for neoplastic and infectious diseases and to spread awareness. A pap smear is simple, cost effective and safe in pregnancy. In low resource countries, this may be the only opportunity when the woman visits a health centre.  It also helps identify and treat infections that could hamper the pregnancy outcome. Objective of the study is to determine the awareness of pap smear as a cervical cancer screening test in antenatal women; to determine the incidence of cervical neoplasia and premalignant lesions of the cervix in antenatal women.Methods: A cross-sectional study was carried out between November 2018 to April 2019. Inclusion criteria were pregnant women in the first trimester. Exclusion criteria were pregnancy greater than 12 weeks, symptoms of vaginal infection, history of sexual intercourse or vaginal medication or bleeding in the last 48 hours or a normal pap smear in the last 3 years. The reporting was done as per Bethesda 2014.Results: 308 women underwent a pap smear in their 1st trimester. 94% were satisfactory smears and 3(0.9%) an abnormal smear (2 LSIL and 1 ASCUS). 31.2% had inflammatory smears. Only 15 women were aware of pap smear as a test for cancer cervix screening and all these women were graduates and above. No women had ever had a pap smear test in the past. One fifth of women studied had 1 or more risk factor the commonest being early age at first intercourse.Conclusions: The antenatal period should be utilized as an opportunity to screen women for cancer cervix.

scholarly journals An assessment of facilities and services at anganwadi centers under the integrated child development service scheme in urban area of Kathua district, Jammu and Kashmir

2019 ◽  
Vol 6 (12) ◽  
pp. 5272
Author(s):  
Anuj Kapoor ◽  
Kamna Singh
Keyword(s):  
Urban Area ◽  
Cost Effective ◽  
Descriptive Study ◽  
Childhood Development ◽  
Cross Sectional ◽  
Jammu And Kashmir ◽  
Physical Infrastructure ◽  
Basic Infrastructure ◽  
Present Case Study

Background: The integrated childhood development services (ICDS) scheme, launched on 2nd November 1975 is India’s foremost program imparting comprehensive and cost-effective services for children and maternal health through designated anganwadi centers (AWCs). AWCs deliver services right at the doorsteps of the beneficiaries to ensure their maximum participation.Methods: This was a cross sectional descriptive study conducted in 37 AWCs of the urban area in Kathua district from March to May 2019. A checklist was used to assess the physical infrastructure of AWC and logistics available.Results: A total of 37 AWCs were visited. Majority of the AWCs (94.5%) were running in a rented building and had only room. and 86.4% have pucca type of center. Almost half (51.3%) of the anganwadi workers had >10 years of experience. 32.4% of the AWWs received education up to 12th standard. Weighing machines were available in 89.1% of the centers whereas Salter weighing machine was present only in 23 centers.Conclusions: Present case study unveils deficiencies in infrastructure and logistics at the centers. Emphasis should be given to strengthen the basic infrastructure of AWCs which would further help in delivering quality services to the beneficiaries.

scholarly journals Knowledge, attitude, practice, and post-infection effects regarding COVID-19, and vaccine acceptance among general people of North India -- A multicentred cross-sectional study.

2021 ◽  
Author(s):  
Sudhanshu Bansal ◽  
Abhishek Kumar Gangwar ◽  
Amit Sharma ◽  
Sourabh Kosey
Keyword(s):  
Post Infection ◽  
Nuclear Family ◽  
Health Centre ◽  
North India ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Jammu And Kashmir ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Purpose: This study aimed to assess COVID-19 awareness, attitude, practice, and post-infection effects, as well as vaccine acceptance, among general people in North India at the end of the first COVID-19 wave in India. Method: A cross-sectional, multicentred survey took place from 20 January to 28 February 2021 in Northern India, covering 8 states, including Haryana, Punjab, Himachal Pradesh, Uttar Pradesh, Uttarakhand, Jammu and Kashmir, Delhi, and Chandigarh to assess the KAP in the context of COVID-19. A validated questionnaire was distributed via social media (Instagram, WhatsApp), and responses were collected via a Google Form. Result: The total number of participants was n=813, out of which more than half of the responder were male (54.2%). The majority of respondents belong to the age category 18 to 29 years (66.9%) and (85.8%) of respondents come from a nuclear family. Mean (percentage) scores for knowledge, attitude, and practice were 57.91%, 60.98%, and 89.79% respectively. The vaccine acceptance in participants was quite high (70.8%), (67.7%) have a positive belief in vaccine efficacy, and (42.7%) of respondents were willing to take the vaccine at a health centre/clinic. Out of total participants (74.5%) believe that vaccines can control the spread of COVID-19. The prevalence of post-infection effects was more in females with a mean percentage of 52.94, like (94.1%) of females and (70.4%) of males. Conclusion: Although the overall KAP regarding COVID-19 disease was average and balanced in some areas (69.56% overall in all categories of KAP) in our participants. Our result finding shows that there are certain gaps in knowledge, attitude, and practice of participants which can be decreased by efficient and tailor-made health education initiatives. Due to these gaps, India is facing a second wave of COVID-19

scholarly journals Evaluation of primary immunization coverage among children in a rural block of district Rohtak, Haryana, India

2017 ◽  
Vol 4 (5) ◽  
pp. 1612 ◽  
Author(s):  
Sahil Goyal ◽  
Vijay Kumar ◽  
Ritika Garg
Keyword(s):  
Immunization Coverage ◽  
Cost Effective ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Drop Out ◽  
Primary Immunization ◽  
Cross Sectional ◽  
Life Threatening ◽  
Age Appropriate ◽  
The Right

Background: Vaccination is the most important preventive and cost-effective intervention to decrease morbidity and mortality rates in children. Every year, vaccination averts an estimated 2-3 million deaths from diphtheria, tetanus, pertussis and measles. These are all life threatening diseases that disproportionately affect children. An estimated 1.5 million children die annually from diseases that can be prevented by immunization. In the past 50 years, vaccination has saved more lives worldwide than any other medical products or procedures. The objectives of the study were to evaluate primary immunization coverage along with 1st dose of Vitamin-A supplementation coverage, age-appropriate immunization and also to know the reasons for partial or non-immunization among children.Methods: Community-based cross sectional study was conducted among 540 children in the rural area of Rohtak, Haryana during June 2015-May 2016. Information was collected from the mothers regarding immunization status of their children aged 12-23 months old and socio-demographic variables using a semi-structured interview schedule.Results: 395 (73.15%) of 12-23 months old children were fully immunized and the rest 145 (26.85%) were partially immunized. The major reason for drop-out rate was found to be unawareness regarding need for immunization. Immunization coverage was found to be significantly associated with the presence of immunization card and literacy level of mothers.Conclusions: Though the immunization coverage showed improvement through intensive immunization campaigns in recent years, still a lot needs to be done to increase awareness regarding importance of full immunization at the right time as mentioned in the National Immunization schedule (NIS).

PENGARUH TINGKAT PENGETAHUAN TERHADAP KINERJA TENAGA KONTRAK PROMOTOR KESEHATAN DALAM PELAYANAN PROMOSI KESEHATAN PUSKESMAS DI KABUPATEN INDRAMAYU

2018 ◽  
Vol 6 (1) ◽  
pp. 14
Author(s):  
Harsono . ◽  
Bagoes Widjanarko ◽  
Priyadi Nugraha Prabamurti
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Health Centre ◽  
Influence Factors ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Chi Square ◽  
Cross Sectional ◽  
Contract Workers ◽  
E Learning

Penerapan perilaku hidup bersih dan sehat pada tatanan rumah tangga di Indonesia pada tahun 2015, baru mencapai 55%. Padahal dari sisi perilaku per indikator idealnya diatas 80%. Faktor risiko timbulnya Penyakit Tidak Menular(PTM) antara lain karena gaya hidup seperti merokok, obesitas, inaktivitas, peminum alcohol dan narkoba. Lemahnya upaya preventif dan promotif dalam upaya kesehatan masyarakat (UKM) disebabkan salah satunya oleh distribusi tenaga promotif preventif di Puskesmas masih belum merata.. Keberadaan tenaga kontrak Promotor Kesehatan di Puskesmas diharapkan mampu menjawab kekurangan tenaga promotif preventif di Kabupaten Indramayu. Namun keberadaan mereka menjadi prokontra sehingga dapat berpengaruh pada kinerja dalam pelayanan promosi kesehatan di Puskesmas.Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan rancangan studi cross sectional. Besar sampel adalah 35 orang. Analisis data secara univariat, bivariat dengan Chi square dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukan bahwa kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu sebagian besar responden berkinerja tinggi (51,4%). Hasil uji statistic menunjukan bahwa terdapat hubungan antara pengetahuan (p=000), kemampuan diri (p=0,000), persepsi beban kerja (p=0,011), motivasi (p=0,010), imbalan (p=0,024) dan sarana prasarana (p=0,001) dengan kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Faktor yang memiliki pengaruh paling kuat terhadap kinerja tenaga kontrak promotor kesehatan adalah faktor pengetahuan dengan nilai Odds Ratio (OR=17,84 95% CI=1,99-149,5) dan kemampuan diri (OR=17,36 95% CI=1,4-220). Rekomendasi pada penelitian ini adalah perlu adanya pelatihan e-learning dan in-house training, pembinaan tenaga kontrak, dan penyediaan sarana prasarana promosi kesehatan. Abstract The application of clean and healthy life behavior at household order in Indonesia in 2015, had just reached 55%. From the behavior side, where every indicator should be above 80% as the ideal one. The weakness of preventive and promotion effort in accordance with the community health efforts, one of the reasons is because the distribution of the health preventive and promotion agent into the community health centre is not all totally covered yet. The presence of the out-sourcing health promoter agent in the community’s health center is expected to be able to supply the lack of health preventive and promotion agent in Indramayu. However, their presence become pros and cons, which can influence to the performance in theservice of health promotion in community’s health centre. This research aimed to analyze the elements which influence their performance to carry out health promotion service in every community’s health centre in Indramayu. Type of observational study with cross sectional design.The population in this study amounted to 105 people, consisting of 35 contract workers, 35 heads of Puskesmas, and 35 co-workers contract workers.The sampling technique is purposive sampling in total population or saturated sampling, so the same sample size is 105 people. The data are analyzed by univariat, bivariat method with Chi square and multivariate with logistic regression. The results of this study indicate that the performance of health promotion contract workers in health promotion service of Puskesmas in Indramayu Regency most of the respondents are high performers (51.4%). Based on the test of Chi-Square, it shows that the elements related to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre in Indramayu are knowledge (score p=000), self ability (p=0,000), duty perception (p=0,011), motivation (p=0,010), reward (p=0,024), means and infrastructures (0,001). The most influence factors to the performance to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre are knowledge factor (p=0,009) with the OR score=17,84 95% CI=1,99-149,5.Therefore, as the recommendation, the training for the candidates of health promoters, e-learning, in-house training, and also the out-sourcing coaching as well, and providing means and infrastructures of health promotion.

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