scholarly journals Awareness and perception of health insurance among rural population in Kancheepuram district, Tamil Nadu

Author(s):  
Raja T. K. ◽  
Buvnesh Kumar M. ◽  
Muthukumar T. ◽  
Anisha Pannakal Mohan

Background: Health insurance awareness and perception is most preliminary and people are getting familiar of it. Still the utilization of health insurance has not reached the rural areas due to lack of awareness among rural population. The present study was done with an aim of assessing individual’s awareness and perception of the health insurance.Methods: The study was a community based cross sectional study conducted for a period of 6 months among villages which is field practice area of a medical college in Kancheepuram district, Tamil Nadu. 310 houses were interviewed. Line listing of the houses was done and data collected through semi structured questionnaire either from the head of the family or the family member who was available in the house. Data collected was statistically analyzed by SPSS version 21.Results: In this study, among 310 participants majority were females (62%), middle class (31%), nuclear family (83%). 51% were aware about health insurance, source of awareness was mostly from television (38.3%). 48% of study participants were aware of Chief Minister Health Scheme.Conclusions: Majority of the people who were aware about the Chief Minister Health Scheme were not aware about the complete benefits and details of the scheme, which emphasis on the need for creating more awareness about health insurance to avoid unpredictable health expenses in case of illness and injuries.

Author(s):  
Sunil Kumar Ahuja ◽  
Nimisha Mishra ◽  
Pradeep Kumar

Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.


Author(s):  
Netra G. ◽  
B. A. Varadaraja Rao ◽  
Prakash Kengnal

Background: Health insurance is also called as medical insurance offering coverage that pays for unexpected medical and surgical expenses to the policyholder. A health insurance plan is one of the most secured and safest way to provide financial coverage to the insured family. Objective of this study was to assess utilization, satisfaction, out of pocket expenses and to determine the health seeking behaviour of the insured residents of the rural field practice area of SSIMS and RC, Davanagere.Methods: The study was done in the rural field practice area of the medical college, Davangere from January 2016 to December 2016. A sample of 600 families were studied by systematic random sampling and data was collected from the head of the family using structured questionnaire by house to house interview. Statistical analysis was carried out by SPSS v10, percentages, proportions and Chi-square tests were applied to find the association among the variables.Results: The utilization of health insurance in the present study was 50.2% and satisfaction regarding the health insurance schemes was 93.4%.Conclusions: The study reveals that the out of pocket expenses is high among the uninsured families compared to the insured families. The Insurance policies should be revived to do favour the patients so that more families will be encouraged to enrol and utilize so that the out of pocket expenses will be reduced.


Author(s):  
Abirami Kailasam ◽  
Bharathi Kannan ◽  
Eashwar Barath Lochan ◽  
Sathya Narayanan K. ◽  
Sirshendu Chaudhuri ◽  
...  

Background: Adequate and safe food is a basic requirement for every individual. Inadequate food leads to food insecurity. Household-level food insecurity may directly influence the health of an individual. We aimed to assess the prevalence of household-level food insecurity in the rural areas of Kaniyambadi block and to assess the household level determinants of food insecurity.Methods: A cross-sectional study was conducted in villages of Kaniyambadi block, a rural development block of Vellore district in Tamil Nadu. Households were the unit of study. The interview was conducted with a pre-tested, semi-structured questionnaire in Tamil. ‘U.S. Food Security Survey module’, September 2012, for a reference period of 30 days was used to determine food security status.Results: One hundred and fifty households were selected; 15 from each 10 randomly selected villages. Prevalence of food insecurity we got as 52.7% [95% CI: 44.6%, 60.8%]. Determinants like ‘low (<1225 INR/ month) per capita income’ [Adjusted odds ratio (AOR)- 6.7; 95% CI: 3.3,13.6]; ‘presence of debt at the time of interview’ [AOR- 3.5; 95% CI:1.7, 7.3] and ‘presence of at least one smoker in the family’ [AOR- 3.2; 95% CI:1.5, 6.8], were found to be associated significantly with food insecurity, after adjusting for the clusters by multi-level modelling.Conclusions: Food insecurity is a hidden phenomenon in India. Poverty is the key determinant behind this. To alleviate food insecurity, it will be logical to adopt multi-dimensional approaches with thrust on implementing the existing poverty alleviating programs.


Author(s):  
Gowri Prakasam ◽  
K Karkuzhali ◽  
Veeraraghavan Gurusamy

Introduction: Primary Central Nervous System (CNS) tumours constitute less than 2% of overall cancers in adults and are the second most frequently encountered tumours in children. Meningiomas form 24-30% of primary intracranial tumours. Most intrinsic brain tumours are soft and gelatinous in consistency, smear preparation can readily made which gives excellent cytological details when compared to frozen section as the latter produces ice crystal artifacts. Aim: To assess the diagnostic utility of squash cytological evaluation of meningiomas and its comparison with final histopathological diagnosis. Materials and Methods: The cross-sectional study was done at Thanjavur Medical College, Thanjavur, Tamil Nadu, India for period of three years from January 2015 to December 2017. Total of 54 clinically diagnosed and radiologically suspected case of meningiomas were selected. Smears were prepared from the biopsy samples sent in normal saline and stained by Haematoxylin and Eosin (H&E) method. The cytological features were noted and matched with biopsy findings. Descriptive statistics were used to analyse the results. Results: Total of 54 squash smears with male to female ratio was 1:1.5. Maximum number of cases were seen between 41- 50 years followed by 51-60 years. Complete concordance was obtained in 51 cases (94.44%) and partial concordance was noted in a case due to underestimation of malignancy grade in squash cytology. Out of 54 cases, two cases were found to be discordant with final histopathological diagnosis. Conclusion: Intraoperative squash cytology is easy, rapid, reliable and cost-effective technique for neurosurgical consultation with fairly high accuracy in diagnosing meningiomas.


2017 ◽  
Vol 17 (3) ◽  
pp. 86-96 ◽  
Author(s):  
Mohd Rohaizat Hassan ◽  
Mohd Fadhli Samsuri ◽  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Zulkifli Md Zainuddin ◽  
...  

The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.


Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.


2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


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