scholarly journals Socio-demographic profile and reasons for previous partial and unimmunization among children attending Mission Indradhanush session: a cross sectional study

Author(s):  
Chandrashekhar R. ◽  
Shashidhar S. Basagoudar ◽  
Shivappa Hatnoor ◽  
Rahul C. Kirte

Background: In December 2014, Ministry of Health and Family Welfare of India launched Mission Indradhanush with the aim to ensure that all children are fully vaccinated against seven vaccine-preventable diseases before they reach an age of two years.Methods: A cross sectional, community based study was conducted among parents attending Indradhanush Vaccination Centre (IVC) along with their partial and unimmunized children aged 0-23 months. Study was conducted during Mission Indradhanush (MI) 2nd Phase from November 2015 to January 2016. Data consisting of information regarding the various demographic variables, immunization history, and reasons for partial and unimmunization was collected by interviewing the parents through a pre-tested, structured questionnaire.Results: A total of 153 children were studied involving 63 session sites. 50 (32.7%) children were residing in low coverage areas, 4 (2.6%) children in villages with migratory population, 4(2.6%) children in areas with missed session and 87(56.9%) children residing in village with vacant sub centre. Common reasons for not vaccination were, child was sick on the day of vaccination (32%), child migrated to other place (27.5%), Fear of AEFI (11.8%), ignorance (11.1%). Only 92 (60.1%) children were having MCP card.Conclusions: The reasons for partial and un immunization  were mainly lack of awareness of parents, sickness of children, fear of AEFI and migration to other places which would be solved by taking all efforts to raise the awareness of community about  need  of immunization along with providing complete information about the immunization services being  provided to them.

Author(s):  
Aditi Chandrakar ◽  
Prem Sagar Panda ◽  
Gopal Prasad Soni ◽  
Srishti Dixit

Background: In order to increase accessibility of health care services for pregnant women and sick infants and to reduce out-of-pocket expenditure, Ministry of Health and Family welfare, Government of India has launched a nationwide initiative- Janani Shishu Suraksha Karyakram on June 01, 2011. The objective of the study was to find out the awareness level about the entitlements of JSSK among mothers with child less than one year and its association with different socio-demographic variables.Methods: A community based cross-sectional study was conducted in rural block of Raipur district, Chhattisgarh, India, among 352 mothers having child less than one year using multistage random sampling using predesigned, pretested proforma from July 2015 to June 2016. Chi-square test was applied to find out the association between awareness level and different socio-demographic variables. P <0.05 was considered significant.Results: Among 352 mothers, good awareness were found in only 207 mothers (58.80%). Maximum awareness (89.20%) regarding entitlements among mothers was seen for free transport services from home to health institution followed by the drop back transport facility from hospital to home (85.22%). None of the mothers know about free diagnostic services for mothers and for sick infants and for free provision of blood for sick infants. Increasing parity was significantly associated with good awareness regarding JSSK.Conclusions: Level of awareness regarding JSSK entitlements for pregnant mothers and sick infants was found to be low. Extensive IEC needed to further increase the awareness regarding JSSK entitlements to increase utilization among beneficiaries.


Author(s):  
Neelima S. Chauhan

Background: It is estimated that around 15.6 million abortions take place in India every year. There is significant variance in the estimates for the number of abortions reported and the total number of abortions taking place. Emergency contraception (EC) prevents an accidental pregnancy. It prevents a woman from having to go through the trauma of getting pregnant when she does not want to.Methods: A cross-sectional study was conducted to assess the knowledge of emergency contraception among women attending the gynecological outpatient department. A total of 280 married women were included in the study. Data was collected using a semi-structured questionnaire, which included questions on demographic variables, religion, education, knowledge and practices about EC.Results: Majority of the participants were in the age group of 20-25 years (122; 43.6%). Hinduism was the predominant religion followed by eighty five percent (n=238) of the women. Only 2.1% (n=6) of the women were uneducated while the rest had some form of schooling. Most of them belonged to the age group of 20-25 years (122; 43.6%). Majority of the participants (244; 87.1%) reported that they had never heard about EC. And only 4.3% have ever used EC.Conclusions: Despite EC being available for more than a decade in India, many women still have not heard of it. Although awareness is increasing it is essential to integrate information about EC in family welfare materials and developing new strategies to increase awareness and share information about EC.


Author(s):  
Gnanamani Gnanasabai ◽  
Mohan Kumar ◽  
Chithra Boovaragasamy ◽  
Mujibur Rahman

Background: Ageing leads to lower effectiveness of physiological functions accompanied by increase in risk factors for various diseases and on the other hand, the burden of their health problems in on rise. Understanding the morbidity pattern and social determinants of the elderly pave a way to plan and supplement health programs that are need based and locally acceptable. Objective was to assess the socio-demographic determinants and the morbidity pattern among geriatric population of rural Puducherry.Methods: A community based cross-sectional descriptive study was conducted among the geriatric population residing in selected areas of rural Puducherry. Interviews using semi-structured pretested proforma were conducted for capturing information on socio-demographic variables and morbidity patterns.Results: Around 71.69% receive social assistance in any form. The most common morbidities present among the study participants were arthritis (31.35%), hypertension (22.66%) and diabetes mellitus (16.59%).Conclusions: There are considerable health problems due to old age among elderly, so regular screening required early in life for ensuring healthy ageing.


2021 ◽  
pp. 265-270
Author(s):  
Anil K Agarwal ◽  
Anju Agarwal ◽  
Ramniwas Mahor ◽  
Akshat Pathak

The benefits of vaccination are clearly demonstrated by the eradication or enormous decline of the incidence of many vaccine-preventable diseases, Yet the coverage against VPDs remains close to complete but there is a large gap between target and achievement of child immunisation in the country and the coverage of many highly recommended vaccines is still frequently inadequate and children still suffer from diseases that would are prevented. The main aim of this study was to discuss the recognized barriers to the vaccination of children confronting immunization achievement, providers and parents, and the ways in which they can be overcome. Most of the issues underlying limited vaccination coverage among children are because of a scarcity of understanding among healthcare providers and attendants, which underlines the necessity for educational programmes specifically addressed to each of these groups. However, it will take the combined efforts of healthcare systems and providers to pull down all of the barriers. The study was conducted to identify managerial barriers to vaccination of under five children. There is scope for improvement by focusing on the factors which are influencing utilization of immunization services. However, it'll take the combined efforts of healthcare systems and providers to tug down all of the barriers. The study was conducted to identify managerial barriers to vaccination of under five children. There is scope for improvement by focusing on the factors which are influencing utilization of immunization services.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Samaneh Torkian ◽  
Elham Akhlaghi ◽  
Vahid Khosravi ◽  
Reza Etesami ◽  
Ali Ahmadi ◽  
...  

Background: Coronavirus disease 2019 (COVID-19) epidemic is neither the first nor the last epidemic in human societies. Epidemic control requires cooperation and adherence to health and prevention protocols in the whole community. Social support and social adjustment may be effective in epidemic control. Objectives: This study aimed to investigate the level of social support, social adjustment, and related factors during the COVID-19 epidemic in Iran. Methods: A nationwide cross-sectional study, including 1,145 individuals, was conducted from April to May 2020 in Iran. Social adjustment and social support were measured using the Bell Adjustment Inventory and Philips Social Support questionnaires. Each province was assumed as a cluster, and Generalized Estimating Equations (GEE) (GEE) models were used to determine the demographic variables that were related to social support and social adjustment during the COVID-19 outbreak. All analyses were conducted with SPSS26. Results: In this study, 58.9% of people were in the moderate and 39.9% in the high social support group. About 57.6% of people were in moderate and 30.8% in the high social adjustment group. People with a good [(OR = 3.81, 95% CI: 2.29, 6.34)] and moderate [(OR = 2.02, 95% CI: 1.40, 2.92)] financial situation had significantly higher social support scores. Master or doctorate graduates [(OR = 2.38, 95% CI: 1.80, 3.15)], and people with a good [(OR = 1.83, 95% CI: 1.20, 2.79)] and moderate [(OR = 1.40, 95% CI: 1.17, 1.69)] financial situation had significantly higher social adjustment scores. Conclusions: The participants of this study have mainly moderate to high levels of social support and adjustment; however, they may not represent the whole Iranian society. Social support and adjustment are low in people with a poor financial situation and low education. These groups need more attention to epidemics.


Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Karen M. Davison ◽  
Bonnie J. Kaplan

Background: Mood disorders are associated with a high risk of suicide. Statin therapy has been implicated in this relationship. Aims: To further clarify reported associations between suicide and cholesterol in mental health conditions, we conducted an analysis of dietary, clinical, and suicidal ideation measures in community-living adults with mood disorders. Method: Data were used from a cross-sectional study of a randomly selected community-based sample (> 18 years; n = 97) with verified mood disorders. Dietary (e.g., fat, iron, vitamin intakes), clinical (e.g., current depression and mania symptoms, medications), and sociodemographic (age, sex, and income) measures were analyzed using bivariate statistics and Poisson regression with robust variance. Results: Participants were predominantly female (71.1%) with bipolar disorder (59.8%); almost one-third (28.9%) were taking lipophilic statins. The prevalence of suicidal ideation was more than 2.5 times in those taking statins, PR = 2.59, 95% CI 1.27–5.31, p < .05. The prevalence ratio for suicidal ideation was 1.10, 95% CI 1.06–1.15, p < .001, for each unit increase in mania symptom scores. No associations between suicidal ideation and dietary intake measures were identified. Conclusion: Individuals with mood disorders may be susceptible to neuropsychiatric effects of cholesterol-lowering drugs, which warrants further research.


Author(s):  
Shiren Ali Al Hamzawi

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.


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