scholarly journals Evaluating the performance of ASHA workers in rural and tribal areas in Kurnool division of Kurnool district, Andhra Pradesh

2019 ◽  
Vol 6 (8) ◽  
pp. 3418
Author(s):  
Renuka Biyyala ◽  
Ram Sagar Reddy Moola ◽  
Sreedevi Arepalli
Keyword(s):  
Family Planning ◽  
Social Determinants ◽  
Rural Areas ◽  
Work Performance ◽  
Health Planning ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Local Health ◽  
Cross Sectional ◽  
Minor Ailments

Background: ASHA is a health activist in the communities who creates awareness on health and its social determinants and mobilizes the community towards local health planning and increased utilization and accountability of the existing health services. This study was conducted with the aim of evaluating the work performance of ASHAs in tribal and remote rural areas in Kurnool division of Kurnool district.Methods: This is a community based observational and cross sectional study carried out from July 2014 to July 2015. Six PHCs of Atmakur CHNC namely Kottalcheruvu, Bairluty, Kothapally, Yerramattam, Gokavaram, Pamulapadu were selected for the study by using multistage random sampling technique. 65 ASHAs from 20 SCs of these six PHCs had participated in the study for evaluation of their performance in the field.Results: Majority of ASHAs had average level of the performance in counselling of antenatal cases, escorting postnatal cases, motivating cases for family planning adoption, escorting family planning cases whereas the performance level was found to be good among majority of ASHAs with regard to escorting antenatal cases, counselling of postnatal cases and getting children immunized. Majority of ASHAs were not performing activities regarding creating awareness on social determinants of health, providing primary medical care for minor ailments, informing births and deaths to SC/PHC, distributing ORS, IFA and chloroquine.Conclusions: Regular on job training as well as review training for ASHAs every 6 months helps them to increase their participation in various activities with a rejuvenated enthusiasm. The incentives for ASHA must be raised and paid promptly to them to improve their performance. 

scholarly journals Awareness and practice of family planning services among married women of reproductive age in a rural municipality of Saptari district, Nepal

2019 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Reena Bhagat
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Rural Municipality

Introductions: Unwanted pregnancies and maternal deaths can be avoided by use of family planning (FP) services. Use of modern methods of contraceptive among married women age 15-49 years in Nepal is 43%. Generally, fertility is higher among women in rural areas than in urban. This study aims to assess the awareness and practice of FP services among married women of reproductive age in a Rural Municipality of Saptari district, Nepal. Methods: Cross-sectional study with two stage sampling technique through face-to-face interview using structured questionnaire interview schedule in local language, Maithili, was done to find out awareness and practice regarding FP services in married women of 15-49 years in a Municipality of Saptari district, province 2, Nepal, from April 2018 to March 2019. Descriptive and inferential data analysis done using SPSS version16.0 software. Results: Out of 280 respondents, 257 (91.78%) had adequate awareness regarding FP services, 167 (59.64%) were current FP users, 125 (74.85%) practiced female sterilization and 39 (23.35%) used temporary methods. Common reason for not using temporary FP methods included side effects 103 (90%). Level of awareness regarding FP services was not significantly associated with their practices. Conclusions: Majority of respondents had adequate awareness regarding family planning services but FP practice was low.

scholarly journals Male Involvement in Family Planning: Challenges and Way Forward

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni
Keyword(s):  
Family Planning ◽  
Sampling Technique ◽  
Male Involvement ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Married Men ◽  
Public Health Officials

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.

scholarly journals Identify the Causes of Absenteeism in Nurses Mayo Hospital Lahore Pakistan

2017 ◽  
Vol 4 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Nabila Kanwal ◽  
Ghazala Riaz ◽  
Muhammad Shahid Riaz ◽  
Shoumaila Safdar
Keyword(s):  
Negative Impact ◽  
Sampling Technique ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
Job Dissatisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Minor Ailments ◽  
Usual Pattern

Absenteeism is a usual pattern of absence from a duty or responsibility. Usually, absenteeism is considered as an indication of person poor performance. In this study a descriptive cross sectional study design was used. A close ended questionnaire was used as a research tool. Convenient sampling technique was used. Data was analyzed on SPSS 20 version. Nurses are absent from their duties because they suffer from minor ailments e.g. headache and backache? In response of this question, 42.5% responded said that they are strongly agreed, 17.5% were agreed, 8.8% were neutral, 21.3% were disagreed, and 10% were strongly agreed. Nurses do absent from their work because workload is too heavy, 42.5% were agreed, 30% were strongly agreed, 12.5% were neutral,7.5% were disagreed and 7.5% were also strongly disagreed. The lack of appropriate recognition and reward could lead to dissatisfaction and absenteeism among nurses, in response of this question nurses asked that they do absent 31.3% agreed, 41.3% strongly agreed, 15.0% are neutral, 12.5%are disagreed and 0% are strongly disagreed. Staff absenteeism is a growing management concern. It can contribute to sickness absence, staffing instability, work overload and job dissatisfaction that could have a negative impact on patient care. The rate of absenteeism can be reduced by productive management, and loyal leadership. It will not only reduce absenteeism rate but also improve quality of care toward the patients. In return of good performance nurses need appraisal.Int. J. Soc. Sc. Manage. Vol. 4, Issue-2: 110-114

scholarly journals PREVENTIVE MEDICINE DEPARTMENT;

2012 ◽  
Vol 19 (02) ◽  
pp. 162-167
Author(s):  
MUHAMMAD AYAZ BHATTI ◽  
MAHMOOD UR RAHMAN
Keyword(s):  
Family Planning ◽  
Public Sector ◽  
Sampling Technique ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
Annual Reports ◽  
Current Status ◽  
Growth Monitoring ◽  
Cross Sectional ◽  
The Public

Objectives: To measure the current status of preventive activities in civil and military hospitals. To compare the quantum ofpreventive and curative activities in the hospitals. To make recommendations for promotion of preventive activities to reduce the curative burdenfrom the hospitals. Study Design: This was a cross-sectional study. Sampling Technique: Universal sampling. All the major military and publicsector hospitals having bed strength more than 400 in Rawalpindi were included in the study. All the preventive and curative work was taken intoaccount. Methodology: A structured questionnaire was developed and data regarding the quantum of work was collected from all the fourmajor Military and civil hospitals having bed strength more than 400 beds through registers and annual reports of the hospital and was analyzedin the form of frequencies, tabulation, cross tabulation, percentages and was displayed in tables and graphs using SPSS (10.5), Microsoft Exceland calculus. Results: Only seven percent work is preventive and ninety three percent is curative. In the preventive activity MH is marginallyhigher than the rest of the hospitals. In all the hospitals among the preventive activities 31% are antenatal visits, 20 % tetanus toxoid injection,19% BCG, Growth monitoring 13%, Measles injection 11% and family planning 6% in all the hospitals. Ante natal activities in the army sectorhospitals are more prominent 39-44% and also in the public sector 17-26%. Next to the antenatal are tetanus toxoids to pregnant ladies whichrange from 16-35% in military and 16-20 % in the public sector hospitals. Growth monitoring is more efficiently carried out in the RawalpindiGeneral Hospital i.e. 17% while in others 7-12%. Family Planning services are delivered very poorly only 9% in RGH and 6% in DHQ, zero % inCMH and 5% in MH. Measles vaccination is carried out efficiently in DHQ 27%, 11% in RGH and 8% in MH and again poorly 3% in CMH. BCG is27% in DHQ, 20% in MH, 17% in RGH and 10% in CMH. Conclusions: The study show that hospitals are showing very poor performance inpreventive aspect and this is the reason that countries like Pakistan are facing economic burden on the national exchequer and this burden willkeep on increasing if no appropriate action is taken.

scholarly journals Hubungan Kepuasan Kerja dengan Kinerja Perawat di Rumah Sakit

2021 ◽  
Vol 21 (3) ◽  
pp. 1135
Author(s):  
Raja Syafrizal ◽  
Yulihasri Yulihasri ◽  
Zifriyanthi Minanda Putri
Keyword(s):  
Job Satisfaction ◽  
Work Performance ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Low Performance ◽  
The Individual

The performance of nurses can be seen from several cases that occur in hospitals. The incidence of falls in patients, nosocomial infections, inadequate documentation is the result of nurses' low performance. Factors that affect the performance of nurses in hospitals are job satisfaction. So this study aims to describe the relationship between job satisfaction and nurse performance. This study used a cross-sectional study design with a sample of 85 nurses at Arosuka Hospital using proportional sampling technique. The research instrument used a job satisfaction survey questionnaire and the Individual Work Performance quasi (IWPQ) and statistical tests used frequency distribution and chi-square tests. The results showed that the majority of nurses' job satisfaction was in the satisfied category as much as 56.5% and the majority of nurses' performance in the high category was 51.8%. Then obtained a significant relationship between job satisfaction and nurse performance with a p-value of 0.000. So it is expected that hospitals can pay attention to aspects of nurse job satisfaction in making policies

Pattern of Injuries, Its Consequences and Concepts of Injury Prevention in a Rural Community in Bangladesh

KYAMC Journal ◽  
2020 ◽  
Vol 11 (3) ◽  
pp. 118-123
Author(s):  
Sailendra Nath Biswas ◽  
Rubaiyat Farzana Hussain ◽  
Taslima Akber Happy ◽  
Mohd Raisul Hasan ◽  
Mahaidhe Hassan ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Rural Community ◽  
Rural Areas ◽  
Road Traffic ◽  
Sampling Technique ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
The People

Background : An epidemiological transition occurs during the turn of the 21 st century. Non- communicable diseasespredominate over the communicable diseases along with the global economic development. Among the non-communicable diseases, injuries and accidents become a major concern. Objectives: To identify the pattern of injuries prevailing in a rural community in Sirajganj district during 1st November 2015 to 31st January 2016, Materials and Methods: This cross sectional study was conducted among the people living in the rural area near to Shahjadpur Upazila Health Complex of Sirajganj. A total of 442 respondents were interviewed face-toface using a semi-structured questionnaire. Convenience sampling technique was adopted. Collected data were cleaned and analyzed with SPSS software (version 20.0). Results: There were 204 cases of injuries. Fall, cut injury, road traffic accident (RTA) and burn constituted 30.4%,30.4%,15.2% and 12.3% of the injuries respectively. Among the injured cases, 73 went to any health facility to seek treatment. Majority (53.4%) of the injured cases faced loss of activity with hand, 13.2% developed loss of mobility. Among the 73 injured persons who went to any healthcare facility for obtaining treatment, 2.7% expired, 4.1% lives with disability, 15.1% had temporary disability and 78.1% recovered. Nearly half (43%) of the respondents mentioned that they did not have idea about injury prevention. Conclusion: This study reiterates the need to spread the knowledge of pattern of injuries and its prevention through available evidence based strategies and multiple dissemination channels in rural areas. KYAMC Journal Vol. 11, No.-3, October 2020, Page 118-123

Frequency of Severity and Types of Hearing Impairment In Children of Age 5 to 10 Years in Audiology Department

2021 ◽  
Author(s):  
Daniel Akhtar ◽  
Azmat Tahira ◽  
Ambreen Sadaf ◽  
Maria Shahzadi ◽  
Umair Ahsan ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Rural Areas ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
World Health ◽  
Control Analysis ◽  
Age Group ◽  
Cross Sectional ◽  
Chi Square Analysis

Hearing impairment also known as hearing loss is a total or partial incapability to hear. Hard of hearing individuals have difficulty understanding speech sounds. The hearing tribulations in children could have an effect on the ability to learn spoken language as well as in adults it could be able to generate difficulty with social communication in addition to at work. Objective: To determine the Frequency of severity level along with its types of hearing loss in children age 5 to 15 years coming to the Department of Audiology in Children Hospital and ICH, Lahore. Methods: The Descriptive cross-sectional study was performed in the Audiology Department of Children Hospital and ICH in Lahore District, Punjab Province, Pakistan. Children of age limit between 5 to 15 years were had screened and examine for hearing impairment according to the World Health Organization (WHO) protocols. A purposive sampling technique was used. The Case-control analysis of the audiometric test had performed to find out the type and degree of Hearing loss, follow by Chi-Square analysis. Results: The total of 175 children comprised the study population, in which 51.4% (n=90) children belong to the age group of 10-12 years, had Moderate to Severe SNHL due to Birth complications and lack of awareness about Preventable hearing loss especially in rural areas of Pakistan, 28.5% (n=50) children belong to the age group of 13-15 years, had Severe to Profound SNHL due to Consanguineous marriages, 20% (n=35) children belong to the age group of 7-9 years, had Mild to Moderate CHL due to Ear Discharge and other complications like Tonsillitis and Adenoids, etc. Conclusions: This study concluded that a total of 175 children participated in that research, in which 90 children had Moderate to Severe SNHL, 50 children had Severe to Profound SNHL and 35 children had Mild to Moderate CHL.    

scholarly journals Frailty in older adults and their association with social determinants of Health. The SABE Colombia Study

2019 ◽  
pp. 89-101 ◽  
Author(s):  
José M Ocampo Chaparro ◽  
Carlos A Reyes Ortiz ◽  
Ximena Castro Flórez ◽  
Fernando Gómez
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
Childhood Health ◽  
The Social ◽  
Urban And Rural Areas ◽  
The Relationship

Objective: To estimate the prevalence of frailty and evaluate the relationship with the social determinants of health in elderly residents in urban and rural areas of Colombia. Methods: The SABE (Health, Wellbeing, and Aging) Colombia project is a cross-sectional study, carried out in 2014-2015, involving 24,553 men and women aged 60 years and older who live in the community in Colombia. For this analysis, we used data from 4,474 participants included as a subsample with grip strength measurements. The frailty syndrome was diagnosed according to the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). The independent variables were grouped as (a) biological and genetic flow, (b) lifestyle (adverse conditions in childhood) (c) social networks and community, and (d) socio-economic, cultural and environmental conditions. Multiple logistic and linear regression analyses were used to assess the prognostic value of frailty for the outcomes of interest. Results: The prevalence of frailty was 17.9%. The factors significantly associated with frailty were older age, being women, living in rural areas, having low education, a greater number of medical conditions, insufficient current income, childhood health problems and a poor economic situation in childhood. Conclusions: Our results support the need to include frailty prevention programs, to improve the socioeconomic health conditions of infants to avoid future development of frailty.

scholarly journals Challenges in involvement of male spouse in family planning program in rural areas of Varanasi

2020 ◽  
Vol 8 (11) ◽  
pp. 3962
Author(s):  
Reema Singh ◽  
Alok Kumar ◽  
Sangeeta Kansal
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Family Planning Program ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Planning Program ◽  
Community Based ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Male Sterilization

Background: Globally, men have not shared equally with women the responsibility for fertility regulation. While family planning efforts have been directed almost toward women, the lack of male involvement may also reflect the limited options available to men. Current methods for men are condom, withdrawal, or permanent, such as vasectomy. The success of family planning depends on the involvement of couples but this hardly happen especially in rural areas. It is the belief, though erroneously among most males that the practice of family planning should be the sole responsibility of the female. The present study was a community based cross sectional study with the objective to assess challenges in involvement of male spouse in family planning program in rural areas.Methods: This is a community based and cross-sectional study was undertaken in randomly selected 4 villages of Kashi vidyapeeth block, Varanasi. Total enumeration of women from the selected villages delivered within last 3 years was done and their husbands were interviewed by using a pre-designed, pre-tested interview schedule. Chi-square test was applied to find out any association between the variables. P<0.05 was considered to be statistically significant, data was analyzed with statistical package for the social sciences (SPSS) 20 trial version.Results: These preliminary findings are part of thesis shows that out of 130 interviewed respondents, majority (89.5%) had aware about family planning and two third (66.2%) of the respondents said that either they or their wives are using family planning. More than half of the respondents were aware about male sterilization but none of them were using male sterilization. Majority (77.7%) of the respondents said that human immunodeficiency virus-acquired immune deficiency syndrome (HIV-AIDS) and 45.4% were said that sexually transmitted diseases or sexually transmitted infections (STDs/STIs) can be prevented by use of condom. More than half (53.8%) of the respondents were sole of the decision maker regarding the use of family planning.Conclusions: The present study concludes that the majority of the respondents were awareness about the family planning but practices of family planning is low in the study area. Health workers should educate the eligible couples for use of contraceptive methods. Promotion of male contraceptive usage should be done by intense awareness campaigns.

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