scholarly journals Assessment of knowledge and skill of sahiyya (ASHA) and anganwadi worker on appropriate usage of mother and child protection card in Ranchi, Jharkhand: a cross sectional study

2018 ◽  
Vol 5 (12) ◽  
pp. 5316 ◽  
Author(s):  
Mithilesh Kumar ◽  
Swati Shikha ◽  
Vivek Kashyap
Keyword(s):  
Child Protection ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Training Status ◽  
Cross Sectional ◽  
Multi Stage ◽  
Anganwadi Worker ◽  
Mother And Child ◽  
Post Natal Care ◽  
Spss Software

Background: Mother and child protection card (MCP card) is a common card to maintain the record of health care delivery including antenatal care, post-natal care and care of the child that can be used by both the health personnel and the beneficiaries. This study was done among Sahiyyas and AWWs to assess their awareness about MCP card, to find out their training status, to assess their knowledge and skill in recording information in MCP card and assess their role perception of MCP card.Methods: A multi-stage stratified random sampling method was adopted to select Sahiyyas and AWW’s for interview between November 2017 – April 2018 (6 months). 17 Sahiyya and 19 AWWs were interviewed using a pre tested schedule. Templates were generated in MS Excel sheet and data analysis was done using SPSS software (version 20).Results: All the Anganwadi workers who were included in this study were aware about the MCP card whereas 15 out of 17 sahiyyas had awareness about the existence of MCP card. Training in order to orient the AWW and Sahiyya about using MCP card was very low, only 6 out of 19 (31.6%) of AWW had received training and 8 out of 17 (47.1%) Sahiyya’s were trained. We found that majority of the workers and Sahiyya had knowlwdge about most of the sections and had used it to record information in MCP card.Conclusions: Sahiyya’s and AWWs were aware about existence of MCP card, and most of them use it, despite very low training status.

scholarly journals Self-medication practice and associated factors among adults in Gorgan, north of Iran

2019 ◽  
Author(s):  
Mohammad Shokrzadeh ◽  
Reza Hoseinpoor ◽  
Danial Jafari ◽  
Jafar Jalilian ◽  
Yaghoub Shayeste
Keyword(s):  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Self Medication ◽  
Cross Sectional ◽  
Medication Practice ◽  
Multi Stage ◽  
Important Concern ◽  
Chi Squared ◽  
North Of Iran ◽  
Spss Software

Background and Purpose: Self-medication is an important concern in every part of the world. The aim of this study was to estimate the prevalence and to investigate the associate factors of self-medication among adults in Gorgan, north of Iran.  Materials and Methods: This descriptive cross-sectional study was carried out among adults aged 12 years and above who were residents in Gorgan city. The participants were selected using the multi-stage cluster sampling method. SPSS Software and Pearson's chi-squared test were used for data analysis. Results: A total of 592 households with 2050 respondents were visited. The prevalence of self-medication was 67.9%. A larger number of females were self-medicating (71.3%) than males (63.5%). The majority of the respondents self-medicated because of the previous use experience (59.3%). The main indication for self-medication use was headache (60.8%).  Analgesics were the most commonly self-medicated by the respondents (83.9%). Also, 88.6% of the respondents prepared their drug from drugstores. Furthermore, there were significant differences between self-medication and demographics characteristics including gender, age group, marital status, occupation, education level and income (p<0.05). Conclusion: The prevalence of self-medication especially with analgesics is relatively high among adult city-dwellers in Gorgan. So, preventive measures, such as strengthening of the communities awareness on the side effects of self-medication practice and regulation of pharmacies are very important mechanisms to decrease the practice. 

scholarly journals A cross sectional study to assess the infrastructure and logistics available at Anganwadi centres in a rural area

2019 ◽  
Vol 6 (8) ◽  
pp. 3364
Author(s):  
Anas Ahmad Khan ◽  
Danish Imtiaz
Keyword(s):  
Rural Area ◽  
Central Government ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Multi Stage ◽  
Anganwadi Worker ◽  
Toilet Facility ◽  
Social Profiles

Background: ICDS is running from about last four decades in our Country sponsored by Central Government. For achievements of ICDS objectives Anganwadi Centres need to be well equipped in infrastructure and logistics as they are the main source of services provided under ICDS. To find out available infrastructure and logistics at Anganwadi Centers (AWCs), to study the bio-social profiles of Anganwadi Worker (AWWs) and to assess the factors affecting the organizing ‘matriya samiti’ meeting by AWWs at AWCs.Methods: A cross sectional observational study conducted in a rural area of district Bareilly in 22 Anganwadi Centres selected by multi-stage sampling technique. Selected Anganwadi Centres were visited and selected Anganwadi workers and beneficiaries were interviewed.Results: Majority of AWCs were having pucca type of construction but only 18% were having toilet facility. 60% of AWCs were having regular supply of supplementary nutrition, 72% of AWCs do not have any cooking utensils, around 55% were having growth charts, only 32% were having complete non formal pre-school education kit, less than 40% were having complete medicine kit and only 13% were having referral slips.Conclusions: Most of the AWCs were not having adequate infrastructure and logistics as requires.

scholarly journals Evaluation of mother and child protection card entries in a rural area of West Bengal

2017 ◽  
Vol 4 (7) ◽  
pp. 2604 ◽  
Author(s):  
Subhadip Bag ◽  
Mousumi Datta
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Child Protection ◽  
Health Personnel ◽  
Care Delivery ◽  
Background Information ◽  
Growth Chart ◽  
Mother And Child ◽  
Post Natal Care ◽  
Natal Care

Background: Mother and child protection card (MCPC) is a common card to maintain the record of health care delivery including ante natal care, post-natal care and care of the child that can be used by both the health personnel and the beneficiaries.Methods: Total 72 mothers of 0-2 years’ children residing at Banspool village were contacted and their MCPC were checked. From each of the five parts of the MCPC i.e. background and family information, information regarding pregnancy and childbirth, institution related information, antenatal care and post-natal care; maximum, minimum and median no of information boxes that were filled up were noted.Results: Information on background information and ante natal care recording was high with almost all the boxes were filled up but there was lack on maintenance of other records like post-natal care, immunization and growth chart. It was also found that beneficiaries are not making circle in the IFA tablets consumption part.Conclusions: The study reported gap in maintenance of proper health care delivery records through MCPC and more training for both the health personnel and mothers are needed for adequate use of the MCPC.

Relationship between breastfeeding and obesity in high school girls

2020 ◽  
Vol 33 (8) ◽  
pp. 1003-1008
Author(s):  
Mahnaz Mardani ◽  
Sadegh Rezapour ◽  
Fereshteh Hajipour
Keyword(s):  
Physical Activity ◽  
High School ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
School Type ◽  
Parental Occupation ◽  
Cross Sectional ◽  
High School Girls ◽  
Multi Stage ◽  
School Girls

AbstractObjectivesSome factors in infancy can play a role in the development of adolescent obesity. Understanding these factors can help prevent early complications in adolescents associated with obesity in adulthood. The aim of this study was to determine the prevalence of overweight and obesity among high school girls in Khorramabad and its relationship with breastfeeding history.MethodsThis was a cross-sectional study. This study was conducted in 832 high school girls during the academic year 2016–2017. Samples were selected by multi-stage random sampling. General questionnaires, physical activity, and 24-h food questions were completed through interviews with students. Data regarding breastfeeding was obtained by mothers.ResultsThe prevalence of overweight and obesity in the study population was 16.3 and 5.8%, respectively. Overweight and obesity had a significant association with breastfeeding history (p = 0.001), while there was no significant relationship between overweight and obesity with school type, student’s age, parental occupation, education Parents, household size, birth rate, physical activity, and energy intake.ConclusionsThe results of this study showed that breast feeding has a protective effect on overweight and obesity during adolescence. To reduce the incidence of overweight and obesity, necessary education regarding breastfeeding should be provided.

scholarly journals Processes of care and outcomes for homeless patients hospitalised for cardiovascular conditions at safety-net versus non-safety-net hospitals: cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e046959
Author(s):  
Atsushi Miyawaki ◽  
Dhruv Khullar ◽  
Yusuke Tsugawa
Keyword(s):  
Hospital Mortality ◽  
Health Outcomes ◽  
Care Delivery ◽  
Bypass Graft ◽  
Safety Net ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Homeless Adults ◽  
To Receive

ObjectivesEvidence suggests that homeless patients experience worse quality of care and poorer health outcomes across a range of medical conditions. It remains unclear, however, whether differences in care delivery at safety-net versus non-safety-net hospitals explain these disparities. We aimed to investigate whether homeless versus non-homeless adults hospitalised for cardiovascular conditions (acute myocardial infarction (AMI) and stroke) experience differences in care delivery and health outcomes at safety-net versus non-safety-net hospitals.DesignCross-sectional study.SettingData including all hospital admissions in four states (Florida, Massachusetts, Maryland, and New York) in 2014.ParticipantsWe analysed 167 105 adults aged 18 years or older hospitalised for cardiovascular conditions (age mean=64.5 years; 75 361 (45.1%) women; 2123 (1.3%) homeless hospitalisations) discharged from 348 hospitals.Outcome measuresRisk-adjusted diagnostic and therapeutic procedure and in-hospital mortality, after adjusting for patient characteristics and state and quarter fixed effects.ResultsAt safety-net hospitals, homeless adults hospitalised for AMI were less likely to receive coronary angiogram (adjusted OR (aOR), 0.42; 95% CI, 0.36 to 0.50; p<0.001), percutaneous coronary intervention (aOR, 0.52; 95% CI, 0.44 to 0.62; p<0.001) and coronary artery bypass graft (aOR, 0.43; 95% CI, 0.26 to 0.71; p<0.01) compared with non-homeless adults. Homeless patients treated for strokes at safety-net hospitals were less likely to receive cerebral arteriography (aOR, 0.23; 95% CI, 0.16 to 0.34; p<0.001), but were as likely to receive thrombolysis therapy. At non-safety-net hospitals, we found no evidence that the probability of receiving these procedures differed between homeless and non-homeless adults hospitalised for AMI or stroke. Finally, there were no differences in in-hospital mortality rates for homeless versus non-homeless patients at either safety-net or non-safety-net hospitals.ConclusionDisparities in receipt of diagnostic and therapeutic procedures for homeless patients with cardiovascular conditions were observed only at safety-net hospitals. However, we found no evidence that these differences influenced in-hospital mortality markedly.

scholarly journals Comparison of Prevalence of Periodontitis with Different Indices in Population of District Ghaziabad

2016 ◽  
Vol 04 (01) ◽  
pp. 023-030
Author(s):  
Vimal Kumar ◽  
Pallak Arora ◽  
Manish Khatri ◽  
Shivani Sharma ◽  
Sumit Malhotra ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Total Population ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sample Population ◽  
Age Group ◽  
Cross Sectional ◽  
Multi Stage ◽  
Younger Age ◽  
Study Population

Abstract Objective: To estimate the prevalence of periodontal disease with different indices. Methods & materials: The study population consisted of multistage stratified random sample of 1300 subjects from total population of district Ghaziabad. A cross-sectional study was conducted with multi stage stratified random sampling techniques to select the sample population. The subjects were divided into different age groups and the periodontal assessment was made on the basis of CPITN index and ESI Index. Results: The CPITN has shown to estimate incorrect periodontal disease prevalence because of its underestimation of the disease severity. A huge difference was noticed in the prevalence rate of periodontitis when subjects were examined with ESI index. Conclusion Periodontal disease was found to be highly prevalent in the study population and severity of disease increased with age. More number of subjects in younger age group were found to be healthy.

scholarly journals Evaluation of Patient Experience During Virtual and In-Person Urgent Care Visits: Time and Cost Analysis

2021 ◽  
Vol 8 ◽  
pp. 237437352098148
Author(s):  
Saif Khairat ◽  
Xi Lin ◽  
Songzi Liu ◽  
Zhaohui Man ◽  
Tanzila Zaman ◽  
...  
Keyword(s):  
Patient Experience ◽  
Care Delivery ◽  
Turnaround Time ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Cross Sectional ◽  
Significant Difference ◽  
Virtual Visits ◽  
One Year

Urgent care (UC) is one of the fastest growing venues of health care delivery for nonemergent conditions. This study compared the patient experience during virtual and in-person urgent care visits. We conducted a cross-sectional study of patients with the same diagnosis during Virtual Urgent Care (VUC) and in-person UC visits with the same diagnosis with regard to time and cost over a period of one year. We recorded and analyzed 16 685 urgent care visits: In-person UC (n = 14 734), VUC (n = 1262). Significant differences were found in the average total time for a visit in an in-person UC (70.89 minutes), and VUC (9.38 minutes). The average total cost of VUC ($49) and in-person UC ($142.657) differed significantly. Significant difference was found between UC turnaround time and VC turnaround time (Dependent variable (DV): 53.77, P < .01). We found significant differences in cost and time between in favor of virtual visits. Our findings suggest additional policy reform to expand the use of virtual care among target populations to improve access, reduce costs, meet the needs of patients, and reduce emergency department visits.

scholarly journals A comparative assessment of dry eye disease among outdoor street sweepers and indoor office cleaners

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chigozie I. Echieh ◽  
Bassey A. Etim ◽  
Chidiebere Peter Echieh ◽  
Taiwo Oyeniyi ◽  
Jeff Ajewole
Keyword(s):  
Dry Eye ◽  
Cross Sectional Study ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
Ocular Surface Disease Index ◽  
Simultaneous Exposure ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Schirmer’S Test ◽  
Multi Stage

Abstract Background Occupational predisposition to dry eye disease is known. Simultaneous exposure to multiple factors may pose more risk. Street sweepers are exposed to sunlight in addition to dust which all sweepers are exposed to. Tropical climate predisposes to significant exposure to sunlight. Combined exposure to dust and sunlight may lead to a synergy of factors. This study aims to assess the prevalence of dry eye disease (DED) amongst Street sweepers and Office cleaners in Calabar metropolis. Methods A cross-sectional study was conducted among street sweepers and office cleaners. A systematic random sampling and multi-stage sampling method were used to select street sweepers (n = 115) and office cleaners (n = 115) respectively for the study. A pretested semi-structured interviewer-administered questionnaire was used to obtain information after which the respondents had an ophthalmic examination. An assessment of DED was done with Ocular Surface Disease Index (OSDI) questionnaire, Schirmer’s test, and tear break up time (TBUT). OSDI scores of 33 and above; Schirmer’s test readings of < 10 mm wetting in 5 min and a TBUT of less than 10s in either eye were considered as positive dry eye disease. Results The majority of respondents were females 215(93.5%) compared to males 15 (6.5%). The overall mean age of respondents was 40.96 ± 9.8 years. The average OSDI score, Schirmer’s test as well as TBUT among participants was 26.4 ± 16.0, 16.44 ± 9.52 mm, and 12.38 ± 4.53 s respectively. The prevalence of DED among Street sweepers was 35.7% compared to 20% among office cleaners using the OSDI questionnaire (p = 0.352). The prevalence of DED among street sweepers was 32.2% compared to 30.4% among Office cleaners using the Schirmer’s test. (p = 0.73) The TBUT reported a prevalence of 38.3% of DED among Street sweepers compared to 32.2% in office cleaners. (p = 0.48) Overall; the prevalence of dry eye disease among Street sweepers and office cleaners using OSDI score, Schirmers test, as well as TBUT were not statistically significant (> 0.05) Street Sweepers had higher odds of developing dry eye disease compared to office cleaners (OR = 2.085; C.I. =1.106–3.929; p = 0.02). Negative correlation coefficient was observed between TBUT and OSDI (rs = − 0.102; p = 0.125). This was not statistically significant. Conclusion Street sweepers had a higher prevalence of dry eye disease compared to office cleaners due to a higher risk of increased exposure to environmental factors such as dust, smoke, and sunlight. This effect is possibly due to a synergy of factors. Studies on dose-response are warranted.

scholarly journals WhatsApp Tele-Medicine – usage patterns and physicians views on the platform

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Edward Barayev ◽  
Omri Shental ◽  
Dotan Yaari ◽  
Elchanan Zloczower ◽  
Itai Shemesh ◽  
...  
Keyword(s):  
Instant Messaging ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Smartphone Application ◽  
Cross Sectional Study ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Patient Confidentiality ◽  
Medical Specialists ◽  
Usage Patterns

Abstract Background Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp — a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations. Methods A cross-sectional study based on an anonymous web-survey was conducted among PCPs and medical specialists working in the Israel Defense Forces Medical-Corps during September and October, 2019. Results Of 201 participants, 153 were PCPs and 48 were medical specialists. 86.9 % of PCPs and 86.5 % of specialists used WhatsApp every day in professional settings. Added workload, potential breaching of patient confidentiality and lack of full documentation of consultations were the main concerns among physicians using the application. 60.7 % of PCPs and 95.7 % of specialists stated that these consultations have reduced the need for in-person appointments at least once a week. Conclusions In times of COVID-19 that require social distancing, WhatsApp provides a simple, readily available platform for consultations between healthcare providers, even to the extent of rendering some in-person appointments unnecessary. Healthcare organizations should address the matters troubling healthcare providers, mainly patient confidentiality and lack of documentation in patients’ medical records, while providing adequate compensation for those providing the service during and after work hours.

Knowledge and Practices Regarding Early Colostrum Feeding Among Mothers in Erbil Governorate: a Comparative Study

2021 ◽  
Author(s):  
Madiha M Abas ◽  
Shukir Saleem Hasan
Keyword(s):  
Statistical Difference ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Face To Face ◽  
Colostrum Feeding ◽  
Spss Software ◽  
Data Frequency

Abstract Background and objectives: Colostrum is the first breastfeed which is a product by the mother. it has containing high amounts and concentrations of nutrients and antibodies. Methods: A comparative, cross-sectional study was conducted in different areas in Erbil Governorate. During the period started on 2nd Jan. to the end of May. 2019. Non- probability of 400 mothers who delivered their baby by normal vaginal delivery in the hospitals were recruited. A special tool was constructed by researchers, a direct face-to-face interview was adapted. Data were collected and interpreted to the computer. A special SPSS software version 23 was used for analyzing the data, frequency, chi-square, and two tailed t-test statistical analysis was applied for the study.Results: Incorrect knowledge among Erbil city and Koy-Sanjaq city was observed, with better information among Shaqlawa mothers. Poor practices of colostrum feeding among all mothers, and found a statistically significant association between mother’s knowledge, and relay to an association between mothers’ practices. Statistically significant differences were found between Erbil city and Koy-Sanjaq city; between Shaqlawa city and Koy-Sanjaq city concerning mothers’ practices respectively, with non-statistically differences between Erbil and Shaqlawa mothers, also non-statistically significant differences between mothers’ practices in Erbil and Shaqlawa city. There are statistically differences between mothers in Erbil, Koy-Sanjaq, and between Erbil and Shaqlawa with no statistical difference between Koy-Sanjaq and Shaqlawa mothers regarding knowledge. Conclusions: The mothers in Shaqlawa city had better knowledge and all three districts were having poor practices regarding colostrum feeding.

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