scholarly journals Determinants of awareness regarding immunization among parents of children residing in an urban slum of a metro city

Author(s):  
Sandeep S. Hedaoo ◽  
Swati R. Deshpande ◽  
Vijay L. Badge

Background: Many families lack accurate information and knowledge about need for immunization, the need for subsequent dose(s), and the importance of completing the entire immunization schedule. Considering this fact present study was undertaken to identify the factors influencing knowledge of parents regarding immunization.Methods: It’s a cross sectional study conducted for a period of one year in an urban slum area of Malad, Mumbai. Children aged 12-24 months in the study area were included and their parents interviewed using semi structured questionnaire which was validated with the help of a pilot study.Results: Ninety seven percent respondents had heard about immunization. Only 2.8% of them were not aware about immunization. Total 30.5% of respondents could correctly identify the purpose of immunization i.e. protection of child from disease. Almost 65.2% of them did not know vaccines given under national immunization program. Fever (72.3%) was commonest side effect reported by respondents followed by swelling (38.3%). Reasons for lack of knowledge were ignorance about immunization (31.0%), followed by enough information was not received from health providers (24.1%).Conclusions: Knowledge regarding immunisation is very poor among the residents of urban slums of Mumbai. IEC material regarding immunization should be displayed in waiting areas of immunization clinic and several strategic places in the community. There is a need for additional training or capacity building of health workers to improve their attitudes towards clients, and to strengthen their ability to counsel regarding immunization.

2019 ◽  
Vol 7 (1) ◽  
pp. 127
Author(s):  
Nishu C. Gupta ◽  
Kamleshkumar G. Rathod ◽  
Lalita R. Garg

Background: No vaccine is entirely free from the risk of adverse reactions or remote sequel. Knowledge and reporting of AEFI is very important in this vaccine era. Objective of the study was to assess the knowledge of Multipurpose Health Workers (MPHWS) regarding AEFI.Methods: A cross-sectional study was undertaken on randomly selected 30 MPHWs of Beri block. A semi-structured questionnaire was administered after taking verbal consent. The MPHWs had a minimum of one year experience and had received the latest formal training during measles catch up campaign. Data compiled and analysed using appropriate statistical tests.Results: A total of 30 MPHWs duly completed and returned their questionnaires. The mean age was 36.5±2.54 years and mean post-qualification experience was 5.3 years. About 83% of the MPHWs knew that fever, pain, redness and swelling at injection site were symptoms of AEFI and 93% knew about proper storage temperature, dose, route and site of vaccines. Only 56% knew about the storage temperature of diluents and risk of its contamination, 30% knew proper reconstitution of the vaccine. Only 33% knew about filling an adverse event form to report an AEFI. Twenty-five (83.5%) MPHWs had encountered an AEFI and only 14(46.6%) reported such within 24 h. It was observed that level of correct knowledge was decreasing with increasing age of respondents.Conclusions: There was a lack of knowledge about the cause, identification and reporting of AEFI despite periodic training programmes. There is need to train the health workers to improve reporting and prevent complications due to vaccines. There is also further need to ponder over the lacunae in training programmes responsible for persistent inadequate knowledge among MPHWs. Last but not the least “DO NOT FURTHER HARM” should always be the primary aim.


2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  

Abstract Background Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices. Objectives To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania. Methods A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list. Results A total of 250 health workers participated in this study. The majority (80%) had adequate knowledge of EBF. However, 36% of providers believed light porridge should be introduced after 4 months and 43% believed infants will feel thirsty on breast- milk alone. Only 7% of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90%) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast. Conclusion Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.


2021 ◽  
Vol 14 (11) ◽  
Author(s):  
Mariana Dias de Borba ◽  
Carlos Eduardo da Cunha Nascimento ◽  
Gabriel Mael Sussuarana Silva Lobo ◽  
Lucca Gonçalo de Castro Lima ◽  
Camila Lays Winter ◽  
...  

Brazil has the National Immunization Program for disease prevention that offers nineteen vaccines, yet it is known that vaccination coverage according to age is not always reached. Thus, this study aimed to evaluate the vaccination coverage in the municipality of Sinop, in the Mato Grosso state and in the Brazil for meningococcal C conjugate vaccines and Hepatitis B in the period from 2015 to 2019. Method: This is a descriptive, retrospective and cross-sectional study, with data available in the Information System of the National Immunization Program. Results: Vaccination coverage for mingococcal C in children under one year in Sinop was above the target in 2015 and 2018, Mato Grosso was above only in 2015, for the booster dose only Sinop was above the target in 2016. Coverage for hepatitis B in children under 30 days of life demonstrated that Sinop had coverage above the state of Mato Grosso, which in turn was above Brazil. For children under 1 year old, only in 2016 and 2019 the state presented greater vaccination coverage at the expense of Sinop and Brazil. Conclusion: The results demonstrate that there is hesitation on the part of the population regarding vaccination, being greater in vaccines such as meningococcal C. Strengthening childcare is the key to improving the panorama of vaccine coverage.


2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Jéssica Oliveira da Cunha ◽  
Mateus Meneses Bispo ◽  
Lays Hevércia Silveira de Farias ◽  
Glebson Moura Silva ◽  
Andreia Freire de Menezes ◽  
...  

Objetivo: avaliar as salas públicas de vacinação do município de Aracaju conforme o Programa Nacional de Imunização. Metodologia: estudo avaliativo, transversal realizado em 42 unidades públicas de saúde em 2018 por meio de entrevista semiestruturada com abordagens referentes a estrutura, processo. Resultados: todas as salas armazenavam os imunobiológicos em geladeiras domésticas e mais de 60% não mantinham a temperatura adequada da sala; 45% tinham objetos de decoração em suas paredes, 50% das seringas e agulhas de uso diário não estavam acondicionadas adequadamente e 73% não realizavam o tratamento das vacinas compostas com microrganismos vivos antes do descarte e  69% não usavam os cartões controles como forma de monitoramento para realizar busca ativa. Conclusão:  as salas de vacinação apresentam um índice geral regular e que os fatores que interferem no monitoramento dos imunobiológicos precisam ser melhor investigados/avaliados e há uma necessidade crescente do município instituir a prática de avaliação no serviço para um melhor acompanhamento e controle das atividades realizadas, isso permitirá aos gestores uma melhor visualização das potencialidades e fragilidades das salas de vacina sob a sua responsabilidade.Descritores: Pesquisa sobre Serviços de Saúde; Vacinas; Equipe de Enfermagem; Avaliação em Saúde; Centros de Saúde.ANALYSIS OF PUBLIC VACCINATION UNITS IN THE MUNICIPALITY OF ARACAJU/SEObjective: to evaluate the public vaccination rooms of the municipality of Aracaju according to the National Immunization Program. Methodology: evaluative, cross-sectional study conducted in 42 public health units in 2018 through semi-structured interviews with approaches related to structure, process. Results: all rooms stored immunobiologicals in household refrigerators and more than 60% did not maintain the room's adequate temperature; 45% had decorative objects on their walls, 50% of the daily syringes and needles were not properly packed and 73% did not treat vaccines composed with living microorganisms before disposal and 69% did not use the Cards controls as a way of monitoring to perform active search. Conclusion: It is concluded that the vaccination rooms of the municipality presents a regular general index and there is a growing need of the municipality to institute the practice of evaluation in the service for better planning and monitoring of activities.Descriptors: Health services research; Vaccines; Nursing team; Health Evaluation; Health centers.ANÁLISIS DE LAS SALAS PÚBLICAS DE VACUNACIÓN DEL MUNICIPIO DE ARACAJU/SE Objetivo: evaluar las salas públicas de vacunación del municipio de Aracaju de acuerdo con el Programa Nacional de Vacunación. Metodología: estudio consultivo y transversal realizado en 42 unidades de salud pública en 2018 a través de entrevistas semiestructuradas con enfoques relacionados con la estructura, el proceso. Resultados: todas las habitaciones almacenaban inmunobiológicas en refrigeradores domésticos y más del 60% no mantenían la temperatura adecuada de la habitación; El 45% tenía objetos decorativos en sus paredes, el 50% de las jeringas y agujas diarias no estaban debidamente embaladas y el 73% no trataba las vacunas compuestas con microorganismos vivos antes de la eliminación y el 69% no Las tarjetas controlan como una forma de supervisión para realizar la búsqueda activa. Conclusión: Se concluye que las salas de vacunación del municipio presentan un índice general regular y existe una creciente necesidad del municipio de instituir la práctica de evaluación en el servicio para una mejor planificación y seguimiento de las actividades.Descriptores: Servicios de salud Investigación; Vacunas; Equipo de enfermería; Evaluación de la salud; Centros de salud.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Sabuj Kanti Mistry ◽  
A. R. M. Mehrab Ali ◽  
Farhana Akther ◽  
Uday Narayan Yadav ◽  
Mark F. Harris

Abstract Objective This study was aimed to assess the perceived fear of COVID-19 and its associated factors among older adults in Bangladesh. Methods This cross-sectional study was conducted in October 2020 among 1032 older Bangladeshi adults aged ≥60 years. A semi-structured questionnaire was used to collect information on participants’ characteristics and COVID-19 related information. Perceived fear of COVID-19 was measured using the seven-item Fear of COVID-19 Scale (FCV-19S), where the cumulative score ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with perceived fear of COVID-19. Results The mean fear score was 19.4. Participants who were concerned about COVID-19 (β: 2.75, 95% CI: 1.71 to 3.78) and overwhelmed by COVID-19 (β: 3.31, 95% CI: 2.33 to 4.29) were significantly more likely to be fearful of COVID-19. Moreover, older adults who felt themselves isolated from others and whose close friends and family members were diagnosed with COVID-19 were more fearful. However, the participants who received COVID-19 related information from the health workers had a lower level of fear (β: -1.90, 95% CI: − 3.06 to − 0.73). Conclusions The presence of overwhelming fear of COVID-19 among the older adults of Bangladesh underlines the psychological needs of these vulnerable groups. Health workers have a key role in addressing these needs and further research is needed to identify the effective strategies for them to use.


2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  

Abstract Background: Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices.Objectives: To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania.Methods: A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list.Results: A total of 250 health workers participated in this study. The majority (80 %) had adequate knowledge of EBF. However, 36 % of providers believed light porridge should be introduced after 4 months and 43 % believed infants will feel thirsty on breast- milk alone. Only 7 % of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90 %) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast.Conclusion: Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.


Author(s):  
Mahesh B. Jajulwar ◽  
Pawan V. Meshram ◽  
Daniel A. Saji

Background: Prevention and management of obesity is largely depends on motivation and education of people about obesity, in turn this can be greatly facilitated by adequate baseline data on the knowledge, attitude and practise (KAP) of people. The aim of this study was to assess the KAP on obesity among obese people of an urban slum of Mumbai. Methods: A cross-sectional study was conducted in randomly selected sample from Shivaji Nagar urban slum area of Mumbai. Structured questionnaire were used to test their knowledge, attitude and practises regarding obesity. Results: 350 adults of age more than 18 years were analysed. 56% were male and 81.1% were of Muslim community. Prevalence of obesity and overweight was found to be 8.6% and 32.3% respectively as per body mass index (BMI). 42.0% subject’s thought that they are slim, 43.4% thought that they are fit and only 14.6% subjects considered hat they have weight more than normal. Only 46.9% said that they are frequently teased about their weight or physical appearance and only 28.6% said that teasing affected them mentally. 70.9% subjects know that there are health consequences of being obese and only 7.7% have made any effort to reduce weight. 88.3% subjects think diet control and 79.3% think exercise and 11.7% consider medication as a treatment modality for obesity. Conclusions: There appears to be lack of knowledge about obesity and its effects on health, as well as the methods for reducing weight. An IEC program can be developed in this context. 


Author(s):  
Mahesh B. Jajulwar ◽  
Daniel A. Saji ◽  
Sudam R. Suryawanshi

Background: Most studies report that waste pickers constitute disadvantaged and vulnerable segments of the population. Third World waste pickers face multiple hazards and problems. Due to their daily contact with garbage, waste pickers are usually associated with dirt, disease, squalor, and perceived as a nuisance, a symbol of backwardness, and even as criminals. They survive in a hostile physical and social environment. Sometimes scavengers face extreme animosity and violence. The present study was carried out to assess the demographic distribution and assess health profile and health status of rag pickers in an urban slum.Methods: The cross-sectional study includes 240 adult population from the urban slum of one of the metropolitan city in India and study was carried out over a period of one year from January 2014 to December 2014. Results: It was seen that out of 240 people interviewed for the study majority were females (60%) and the rest were males. The majority of the subjects were illiterate (83.7%) and a majority of them were Buddhists (58%) by religion. Most of them belonged to the lowest socio-economic class (85.2%). Most of them complained of the following problems like inadequate sanitation, addictions of smoking (100%), alcohol intoxication (69%). Conclusions: From the following study it was seen that the majority of the rag pickers were illiterate, malnourished, most of them worked in this occupation only for monetary basis, lived in conditions of bad sanitation, and had many requirements from the government like good sanitation and rehabilitation to other jobs. Background: Most studies report that waste pickers constitute disadvantaged and vulnerable segments of the population. Third World waste pickers face multiple hazards and problems. Due to their daily contact with garbage, waste pickers are usually associated with dirt, disease, squalor, and perceived as a nuisance, a symbol of backwardness, and even as criminals. They survive in a hostile physical and social environment. Sometimes scavengers face extreme animosity and violence. The present study was carried out to assess the demographic distribution and assess health profile and health status of rag pickers in an urban slum.Methods: The cross-sectional study includes 240 adult population from the urban slum of one of the metropolitan city in India and study was carried out over a period of one year from January 2014 to December 2014. Results: It was seen that out of 240 people interviewed for the study majority were females (60%) and the rest were males. The majority of the subjects were illiterate (83.7%) and a majority of them were Buddhists (58%) by religion. Most of them belonged to the lowest socio-economic class (85.2%). Most of them complained of the following problems like inadequate sanitation, addictions of smoking (100%), alcohol intoxication (69%). Conclusions: From the following study it was seen that the majority of the rag pickers were illiterate, malnourished, most of them worked in this occupation only for monetary basis, lived in conditions of bad sanitation, and had many requirements from the government like good sanitation and rehabilitation to other jobs. 


2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Brener Santos Silva ◽  
Kátia Cristina de Souza ◽  
Ronimara Gonçalves de Souza ◽  
Samuel Barroso Rodrigues ◽  
Valéria Conceição de Oliveira ◽  
...  

ABSTRACT Objectives: to analyze structural and process conditions in National Immunization Program Information System establishment. Methods: a cross-sectional study conducted in 307 vaccination rooms in the state of Minas Gerais in 2017. For data collection, a multidimensional questionnaire was used. Descriptive data analysis was performed. Results: vaccination rooms have basic inputs necessary for System establishment. The greatest problems relate to professional practice. Low enrollment of population, failures in the active search for absentees, vaccine scheduling and absence of reports to monitor vaccination coverage were identified. Training was considered insufficient and ineffective. Conclusions: Immunization Information System is an essential technological innovation for the management of immunization actions. However, the production of timely records and the use of information are still challenges. Investments in training are required to ensure System’s management and operationalization activities.


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