scholarly journals Health profile of school dropout children in slums of the municipal corporation area of a city

Author(s):  
Vishal Samadhan Dhande ◽  
R. D. Gadekar ◽  
M. K. Doibale ◽  
P. L. Gattani ◽  
V. K. Domple ◽  
...  

Background: Though the school health services cater to health needs to an extent, the children who drop out of schools lose on this count. These children never derive the attention for the reason of school dropouts nor are they covered under any major health programs pertaining to their health problems. The objective of the study were to study health profile of the school dropout children aged 7–16 years residing in the slums of municipal corporation area of Nanded city; to study socio-demographic factors of the families of these school dropout children.Methods: It was a community based cross-sectional study carried out in urban slums of Municipal Corporation of the Nanded city in Maharashtra on the children of age group 7 to 16 who dropped out from the school. Total 455 study subjects were studied by using simple random sampling method. A pre-designed and pre-tested questionnaire was used to collect information on socio demographic variables. Thorough clinical examination of each subject was carried out.Results: The mean age of study subjects was 14.2 (±1.9 SD) years. Out of total 455 study subjects, 264 (58%) were boys and 191 (42%) were girls. 11.20% study subjects were having skin infections, 25.71% were having dental caries, 3.29% were having ear impairment, 9.89% were having visual impairment, and 1.31% was having stammering of speech.Conclusions: Anaemia, skin infections, dental caries, visual impairment were major health problems noted in the school dropped out children. Poor socioeconomic status, religion, type of family, more number of children in the family was some sociodemographic factors responsible for school dropout. 

Author(s):  
Joy Patricia Pushparani ◽  
Chitra A. ◽  
Kalpana J.

Background: Sweepers and sanitary workers are getting exposed to hazardous dust during their work. The health profile of the sanitary workers and utilization of health services are not clearly known. This study aimed to assess the health profile and associated risk factors among street sweepers and sanitary workers.Methods: A community based cross sectional study was conducted among 73 street sweepers and sanitary workers in a zone of Greater Chennai Corporation by multistage sampling method, during November 2016 to December 2016 using a semi structured questionnaire.Results: Among the respondents 67.1% were females, 2/3rd of them belonged to the age group of 30-40 years. Majority of them (82.2%) had reported to have musculoskeletal problems followed by respiratory problems (61.6%), ophthalmic problems (53.4%), skin problems (38.4%), mental health problems (39.7%). Most of the respondents had multiple problems. Musculoskeletal problems were more common among the female workers (p=0.002). Health problems like headache, fatigue, giddiness were more common among the workers who worked for >5 years (p=0.006). The utilization of health services was better among those workers who had formal school education (p=0.042).Conclusions: This study concludes majority of them have musculoskeletal problems followed by respiratory problems and ophthalmic problems. Usage of personal protective equipments and utilization of health services by the sweepers and sanitary workers were poor. Hence steps have to be taken to improve the health status by subjecting them to periodic screening and sensitization programs on usage of PPE.


Author(s):  
Abdul Rauf Awan ◽  
Junaid Jamshed ◽  
Muhammad Mushtaq Khan ◽  
Zahid Latif

<p class="abstract"><strong>Background:</strong> Vision loss<strong> </strong>in childhood has serious implications in all stages of child’s growth and development. It poses social, educational and occupational challenges, with affected children being at greater risk of developing behavioral, psychological and emotional problems, lower self-esteem and poorer social integration. The aim of this study was to assess the prevalence and identify the causes of visual impairment and blindness in school children of UC Gojra, Muzaffarabad, Pakistan so that prevention strategies could be implemented.</p><p class="abstract"><strong>Methods:</strong> This was a<strong> </strong>school-based descriptive cross-sectional study conducted among public and private schools. A multi-stage stratified random sampling technique was used for selecting study participants aged 5-20 years from 24 schools in Muzaffarabad. The vision of school children was examined for visual acuity using standard Snellen chart. Those participants who had visual acuity of &lt;6/18 in either eye underwent a more detailed ophthalmic examination to diagnose the causes of VI. An exploration of demographic variables was conducted using Chi-square test.  </p><p class="abstract"><strong>Results:</strong> The mean age of participants was 10±2.83.<strong> </strong>The prevalence of visual impairment was 19.6% and 2.3% for severe visual impairment. The age group most affected by VI was 11-15 years (74.2%). There were increased chances of developing VI with advancing age of the participants. Males contributed 88.7% of the cases of VI while females contributed only 11.3%. The class category 5-6 had higher percentage of VI cases (32.7%). Public schools contributed 52.8% of the cases of VI while for private schools the corresponding percentage was 47.2%. The leading cause of VI was refractive error (89.3%) followed by amblyopia (5.0%). Other causes of VI included cataract (1.2%), corneal disease (1.8%), strabismus (1.8%) and nystagmus (0.6%).</p><p class="abstract"><strong>Conclusions:</strong> There is a need to implement school health policy on visual screening prior to admissions in schools and annual eye screening program for early detection and prompt treatment of eye problems among school children in Muzaffarabad.</p>


2018 ◽  
Vol 17 (1) ◽  
pp. 16
Author(s):  
Pomarida Simbolon ◽  
Lindawati Simorangkir

Latar belakang: Anak usia sekolah merupakan masa keemasan untuk menanamkan nilai-nilai Hidup Bersih dan Sehat (PHBS) dan mempromosikannya dalam sekolah, keluarga maupun masyarakat. Masalah kesehatan anak sekolah merupakan masalah yang berkaitan dengan PHBS, seperti kecacingan, diare, karies gigi/gigi berlobang, masalah yang berkaitan dengan faktor berisiko, masalah gizi serta gangguan kesehatan yang berkaitan dengan sanitasi dasar yang kurang memenuhi syarat kesehatan. PHBS harus dilakukan dengan baik, bila tidak dilakukan dengan baik akan menimbulkan dampak yang tidak diinginkan dan penerapannya melalui pembinaan Usaha Kesehatan Sekolah (UKS).Persentase UKS 56% belum diterapkan di sekolah wilayah kerja Puskesmas Hamparan Perak. Penelitian ini bertujuan untuk menganalisis hubungan penerapan UKS dengan PHBS di Wilayah Kerja Puskesmas Pancur BatuMetode:Penelitian ini merupakan observasional analitik dengan desain cross sectional. Pupulasi penelitian adalah seluruh sekolah yang ada di wilayah kerja Puskesmas Pancur Batu sebanyak 34 sekolah dengan total sampling. Pengumpulan data menggunakan kuesioner dengan uji chi-square.Hasil: Hasil penelitian menunjukkan bahwa 64,7% UKS tidak diterapkan dan 52,9% pelaksanaan PHBS kurang. Hasil uji statistik menunjukkan ada hubungan signifikan antara penerapan UKS dengan pelaksanaan PHBS di wilayah kerja Puskesmas Pancur Batu (p value = 0,04).Simpulan: Disarankan adanya kebijakan dari dinas kesehatan dan UPT Dinas Pendidikan  bekerja sama dengan kepala sekolah untuk mengaktifkan kembali UKS.ABSTRACTTitle: Aplication UKS with PHBS in Pancur Batu Health Center Working Area Deli Serdang DistrictBackground: School children are a golden age to instill the values of Clean and Healthy Life (PHBS) and promotions in schools, family and community. Health problems from children are issues about PHBS, such as worm infections, diarrhea, dental caries / teeth, problems associated with risk factors, nutritional problems and health problems associated with basic sanitation that not complited about health requirements.PHBS should be done well, if they are not do it so getting an unwanted impact and its application through the development of School Health Units (UKS). The percentage of UKS 56% has not been implemented in primary school Pancur batu health center Working Area. This research aims to analyze the relationship of aplication UKS with implementation PHBS in Pancur Batu health center Working Area.Method:This research was an analytic observational with cross sectional design. Pupulation of research was all schools that exist in Pancur batu health center Working Area as many as 34 schools with total sampling. Data were collected using questionnaires with chi-square testResult:The results showed that 64.7% of UKS were not implemented and 52.9% of PHBS implementation was lacking. The result of the statistic shows that there was a correlation between the application of UKS with implementation of PHBS in the working area of Pancur Batu  Health Center of Deli Serdang districtConclusion: Suggestion that policy from health department and UPT of Education Office cooperation with headmaster to reactivate UKS.


2017 ◽  
Vol 5 (1) ◽  
pp. 101
Author(s):  
Haritha S. Kumar ◽  
Sekar Pasupathy ◽  
Balaji Chinnasami ◽  
Balaji Ramraj

Background: School health programmes help in early detection of health problems but the literature about its effectiveness in India is sparse. Hence, this study was undertaken. The aim of the present study is to measure the weight, height and BMI in school children and to interpret it using the IAP growth charts, to estimate the prevalence of stunting, undernutrition, overweight, obesity, refractory errors, hearing impairment and dental caries in children and to compare the prevalence of above parameters among gender and age.Methods: This is a cross sectional study, conducted between January to March 2017 in 3 suburban schools in Chennai, Tamil Nadu. A total of 631 children in the age group of 6-18 years were screened by an expert team. Weight and height was measured using standard equipments, BMI was calculated and plotted on IAP growth charts. Vision was tested using Snellen chart by an optometrist. Dental evaluation was done by a dentist and hearing screening done by an audiologist using puretone audiometry. Statistical analysis was done using Chi-square test, P value of <0.05 was considered as significant. Results: Out of 631 children, 344 were boys and 287 were girls. 507 children belonged to the primary age group (6-12 years) and 124 children belonged to the secondary age group (12-18 years). The prevalence of stunting was 0.7% and was gradually decreasing with increasing age. The overall prevalence of thinness, overweight and obesity was 10.1%, 1.5% and 7.1% respectively. Underweight was more common among the primary age group whereas obesity was more commonly seen in secondary age group. The prevalence of weight abnormalities in both the age groups and sexes were statistically significant. 19% children had visual defects and the prevalence was more in older children. Dental caries was more commonly seen in primary dentition and the prevalence was 18.9%. Due to lack of ambient conditions, only severe hearing impairment was detected. 5 (0.8%) children had severe hearing impairment. Conclusions: The burden of health problems like malnourishment, refractory errors, dental caries and hearing impairment are high in school children. With the results of the present study, we can conclude that there is a need for implementation of school health screening programmes to detect these health problems at an early stage. To bring a significant change in the community, a dedicated national school health screening program is needed


2018 ◽  
Vol 77 (8) ◽  
pp. 857-871 ◽  
Author(s):  
Albert Lee ◽  
Lawrence H St Leger ◽  
Kelvin WK Ling ◽  
Vera MW Keung ◽  
Amelia SC Lo ◽  
...  

Objective: The Hong Kong Healthy Schools Award Scheme (HKHSA) developed an assessment and monitoring system to examine the status of Health Promoting Schools (HPS). This study made use of the HKHSA programme to investigate the school health ‘profile’ and student health status of four gold award schools following 3–4 years’ participation in the scheme. Design: Repeated cross-sectional student health surveys of the same year level (Secondary 3) were conducted over different time periods, and achievement of HKHSA was assessed by repeated assessments of the school health profile using HPS indicators. Setting: This study included four schools with the Healthy School gold award in Hong Kong, together with students from three of the four schools. Methods: School performance in the six HPS key areas were analysed using radial plot graphs, and students’ health behaviours were measured by means of repeated cross-sectional student health surveys. Results: The four gold award schools demonstrated various degrees of achievement in different HPS key areas with student health behaviours markedly improving in these schools. Further analyses revealed how certain HPS key area components were associated with sustained positive health behaviours among students. Conclusion: The ongoing implementation of HPS impacts on schools’ environment and students’ health behaviours. The HKHSA is designed for formative and summative assessment of school health promotion. Findings provide insight into an HPS assessment process, signalling future directions for the development of school health promotion.


Author(s):  
Umer Farooq ◽  
Akshaya K. M.

Background: Healthy children are the base for a healthy nation. Children are quite vulnerable at this growing age and hence are prone to fall victim to many diseases, thus affecting their normal growth and development. School health program was started as a total health care delivery system in our country with a purpose of addressing the health needs of children. This study was carried out in a selected school of rural Mangaluru, Karnataka to assess the health and nutritional status of the children.Methods: A cross-sectional study was conducted during July and August 2017 among all the school children of a charitable school in a rural area of coastal Karnataka. Data regarding anthropometric measurements, refractory error, medical problems and minor ailments were collected using a predesigned health card. Data was entered in Microsoft excel spreadsheet and analysed using SPSS version 23.Results: A total of 773 children were examined. Dental caries was the most common illness found in 29.6% of children followed by refractive errors in 10.7% of the children. About 13% were underweight and 2% were overweight for age.Conclusions: The most common morbidities found were dental caries, pallor, refractory error and anaemia. Overweight was also seen in the children and needs to be addressed. A well implemented school health programme has the potential to provide comprehensive preventive and curative health services to school children. 


2015 ◽  
Vol 18 (3) ◽  
pp. 642-654 ◽  
Author(s):  
Lorena Batista de Oliveira ◽  
Rafael da Silveira Moreira ◽  
Sandra Cristina Guimarães Bahia Reis ◽  
Maria do Carmo Matias Freire

The aim of this study was to investigate the association between dental caries index among 12-year-old schoolchildren and individual and contextual factors related to the schools in the city of Goiânia, Goiás, Brazil. A cross-sectional study was carried out with 2,075 schoolchildren using the 2010 National Survey of Oral Health methodology. The dependent variable was the decayed, missing, and filled teeth (DMFT) index and the independent variables were individual (sex, race, and maternal education) and contextual ones (type of school, health district, and the presence of oral programs). Multilevel analysis and log-linear negative binominal regression were performed, considering the complex sampling design. Mean DMFT index was 1.51. Female students, whose mothers had lower schooling, those attending public schools, located in districts with the worst socioeconomic indicators, and covered by the Family Health Strategy had higher caries levels. The dental caries index was low and associated with the schoolchildren sociodemographic characteristics and factors related to the schools, showing inequalities in distribution.


2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi

Author(s):  
Kennedy Amone-P'Olak ◽  
Boniface Kealeboga Ramotuana

In Africa, the structure of the family is changing rapidly. The effects of this change on mental health remain unknown. This study investigated the extent to which different family types (intact, single-mother, and multiple) predict mental health problems in young adults in Botswana (N = 264, mean age = 21.31, SD = 2.40). In a cross-sectional design, the study sampled students registered at various faculties at the University of Botswana. The revised symptoms checklist (SCL-90-R) was used to assess symptoms of mental health problems (depression, anxiety and hostility). Binary logistic regression analyses were performed to obtain odds ratios (ORs) and 95 per cent confidence intervals (CIs) of mental health problems for mother-only and multiple family types relative to the intact family type. Compared to the intact family type, single-mother (OR = 2.34; 95% CI: 1.21, 4.51) and multiple family types (OR = 1.56; CI: 0.88, 2.78) were associated with an increased risk of depression. For anxiety, the ORs were 2.27 (CI: 1.18, 4.38) and 1.10 (CI: 0.56, 1.82) for single-mother and multiple family types respectively. For hostility, the ORs were 2.60 (CI: 1.34, 5.04), and 0.79 (CI: 0.44, 1.42) for single-mother and multiple family types, respectively. Family types predict mental health problems in young adults and therefore the interventions to mitigate the effects should consider family backgrounds and the ramifications of family types for treatment and care.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


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