scholarly journals Patterns of antenatal care services utilization in rural Amroha, Uttar Pradesh: a community based cross sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 4048
Author(s):  
Bhaskar K. Watode ◽  
Anurag Srivastava ◽  
Rajeev Kumar
Keyword(s):  
Antenatal Care ◽  
Care Delivery ◽  
Economic Status ◽  
Uttar Pradesh ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Family Type ◽  
World Health ◽  
Cross Sectional ◽  
Maternal Deaths

Background: Antenatal care (ANC) services are considered to be the crucial element in the primary health care delivery system of a country. World Health Organization (WHO) estimates suggested that almost all of the maternal deaths (99%) and child deaths (98%) occurred in developing countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. The objectives of the present study were conducted in rural parts of district Amroha, Uttar Pradesh for assessing the patterns of utilization of the ANC services and to ascertain the factors influencing utilization of ANC services.Methods: The present study was a cross sectional in nature. Recently delivered women were selected as study subject. A multi-stage stratified sampling design with random approaches had been used. Total 360 subjects included in the study.Results: Respondents age, education, occupation, socio economic status, family type and family size were the factors that influenced the utilization of the ANC services. With 100% ANC registration, sub centre was the most preferred place for registration. 76.9% of woman received more than 3 ANC visits. 315 (87.5%) and (71.9%) respondents received 2 doses to TT vaccine and more than 100 IFA tablets respectively.Conclusions: Utilization of ANC services are on rise in rural parts of Amroha, Uttar Pradesh. Still significant proportions of women are doesn’t return to health facility after the ANC registration. Intensification of efforts is needed to cater this left out group through improving community awareness and motivation.

scholarly journals PROPORTION OF EARLY ANTENATAL CARE BOOKING AND ASSOCIATED FACTORS IN MEKELLE CITY, PUBLIC HEALTH INSTITUTIONS, NORTHERN ETHIOPIA, 2015

2018 ◽  
Vol 11 (4) ◽  
pp. 409
Author(s):  
Gebreamlak Gidey ◽  
Desta Abraha
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
World Health ◽  
Systematic Sampling ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
Mekelle City

 Objective: The objective of this study was to assess the proportion and associated factors for early initiation of antenatal care visit in Mekelle City, Tigray, Northern Ethiopia, 2015.Method: An institution-based cross-sectional study was employed among 391 pregnant women’s in Mekelle special zone. A systematic sampling technique was used to select study participants. Pretested structured questionnaire was used to collect the data through interview. Data were entered into EPI info version 7 and analyzed using SPSS version 20, respectively. Bivariate and multivariate logistic regression was done to see significant variables with p<0.05 at 95% confidence interval (CI).Result: The proportion of pregnant women who initiate early antenatal care (ANC) visit was found to be 41.1%. Perceived correct time of initiation before 4 months (adjusted odds ratio [AOR]=3.261, 95% CI 1.391–7.645) and correct time told by others before 4 months with (AOR=6.617, 95% CI 2.580, 16.971) were found to have statistically significant positive outcomes association with early initiation of antenatal care visit.Conclusion: The proportion of early ANC initiation in Mekelle is lower than the World Health Organization recommendation which is <16 weeks gestation. Therefore, providing information to the community, initiation counseling, and providing health education on the benefits early ANC is crucial to improving maternal, neonatal, and child health outcomes.

Trends in inequalities in childhood stunting in Ethiopia from 2000 to 2016: a cross sectional study

2020 ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Gebretsadik Shibre ◽  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Rural Areas ◽  
Economic Status ◽  
Statistical Significance ◽  
Population Attributable Risk ◽  
Cross Sectional Study ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Uncertainty Interval ◽  
Cross Sectional ◽  
Agenda 2030

Abstract Background The decrease in the magnitude of stunting over the past 20 years has been slow in Ethiopia. To date, in Ethiopia, the trends in and extent of inequality in stunting have not been investigated using methods suitably developed for disparity studies. This paper investigated both the extent and overtime dynamics of stunting inequality in Ethiopia over the last 17 years. Methods Using the World Health Organization’s Health Equity Assessment Toolkit software, data from the Ethiopia Demographic and Health surveys (EDHS) were analyzed between 2000 and 2016. The inequality analysis consisted of disaggregated rates of stunting using five equity stratifiers (economic status, education, residence, region and sex) and four summary measures (Difference, Population Attributable risk, Ratio and Absolute Concentration Index). A 95% uncertainty interval was constructed around point estimates to measure statistical significance. Results The study showed that both absolute and relative inequalities in stunting exist in all the studied years in Ethiopia. The inequality disfavors children of mothers who are poor, uneducated and living in rural areas and specific regions such as Amhara. The pro-rich (R = 1.2; 1.1, 1.3 in 2000 to R = 1.7; 1.4, 2 in 2016) and pro-educated (R = 1.6; 95%UI = 1.3, 1.9 in 2000 and R = 2.3; 95%UI = 1.5, 3 in 2011) inequalities slightly increased with time. Male children bear a disproportionately higher burden of stunting, and the disparity increased between the first and the last time points (PAR = −1.5 95%UI = −2.5, −0.6 in 2000 and PAR = −2.9 95%UI = −3.9, −1.9) based on complex measures but remained constant with simple measures (R = 1; 95%UI = 0.9, 1.1 in 2000 and R = 1.1 95%UI = 1, 1.2 in 2016). Similarly, both the sub-national regional and residence-related stunting disparities generally widened over time according to some of the inequality measures. Conclusions Stunting appeared to be highly prevalent among certain sub-groups (i.e. poor, uneducated and living in rural regions). The subpopulations experiencing excessively high stunting prevalence should be the focus of policy makers’ attention as they work to achieve the WHO 40% reduction in stunting target by 2025 and the UN Agenda 2030 for Sustainable Development Goals.

scholarly journals Physicians' Attitudes toward Unnecessary Tests and Processes in the Health Care Delivery System; a Cross-Sectional Study

2021 ◽  
Vol 6 (2) ◽  
pp. 115-124
Author(s):  
Fatemeh Farhadi ◽  
Rahim Khodayari ◽  
Zahra Mobarak ◽  
Morteza Arab-Zozani ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
System A

scholarly journals THE BURDEN OF ENGAGING IN VOLUNTEER ATTENUATE THE RELATIONSHIP BETWEEN VOLUNTEER ENGAGEMENT AND HEALTH OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S145-S146
Author(s):  
Yuta Nemoto ◽  
Ryota Sakurai ◽  
Masami Hasebe ◽  
Kumiko Nonaka ◽  
Hiroko Mtsunaga ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Economic Status ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Volunteer Activity ◽  
Volunteer Engagement

Abstract This study examined the interaction of participating in volunteer activity and its burden on health outcomes. A community-based cross-sectional study was conducted in 2018. Of 8426 older adults aged 65 and over, 5232 individuals were included in the analyses (response rate: 62.1%). Health outcomes included self-rated health (SRH), mental health (The World Health Organization Five Well-Being Index: WHO-5), and Instrumental Activities of Daily Living (Tokyo Metropolitan Institute of Gerontology Index of Competence: TMIG-IC) as dependent variables. Independent variables included engagement in volunteer activity and its burden. These variables were combined and classified into three groups: non-participants; participants with burden; and participants without burden. Covariates included age, gender, educational attainments, economic status, and living arrangement. Logistic regression analysis and analysis of covariates were conducted to examine the interaction of volunteer activity and its burden on health outcomes. Of 5232 older adults, 76.3% of subjects were non-participants, 3.4% were participants with burden, and 20.3% were participants without burden. Multivariate analysis showed that non-participants were more likely to have poor health outcomes compared with participants with burden. Moreover, participants without burden were more likely to have better health outcomes (SRH: Odds Ratio [OR] = 1.92, 95% Confidence Interval [CI] = 1.70 to 2.17, WHO-5: OR = 1.69, 95% CI = 1.51 to 1.88, TMIG-IC: Coefficient = 0.36, 95% CI = 0.10 to 0.62). Our findings suggest that volunteer activity is related to better health regardless of their burden. However, burden of volunteer engagement might attenuate the relationships between volunteer activity and health outcomes.

scholarly journals Mental Disorders Among Elderly People in Baghdad, Iraq, 2017

2019 ◽  
Vol 56 ◽  
pp. 004695801984596
Author(s):  
Ahmed Abdulameer Ibrahim ◽  
Faris AI-Lami ◽  
Riyadh Al-Rudainy ◽  
Yousef S. Khader
Keyword(s):  
Mental Disorders ◽  
Elderly People ◽  
Low Income ◽  
Health Care Services ◽  
Economic Status ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Distress Scale

This study aimed to estimate the prevalence and determinants of mental disorders (MDs) among elderly people residing in nursing homes (NHs) and those living with their families (WF) in Baghdad, Iraq, 2017. A cross-sectional study was conducted on all elderly individuals residing in all NHs in Baghdad and an equal number of elderly people residing WF. MDs were defined based on Kessler Psychological Distress Scale (K10). We used relevant World Health Organization–accredited tools to identify the types of MDs. The prevalence of MDs among elderly people was 38.7%, being statistically significantly ( P < .01) higher among those in NH (55.8%) compared with those living WF (21.5%). The proportion of types of MDs among NH versus WF residents was as follows: depression (35.4% vs 16.6%), anxiety (32.6% vs 9.9%), dementia (19.3% vs 5%), and suicide thoughts (25.4% vs 4.4%). The multivariate analysis showed many factors that were associated with MD. Low income, dependency on others, and being neglected were stronger determinant of MD among elderly people living WF. However, chronic joint pain, visual impairment, auditory impairment, and economic status deterioration were stronger determinant among those in NHs. The prevalence of MDs in the NH is more than double the prevalence in the community. We recommended enhancing elderly mental health care services including curative, preventive, and promotive activities.

scholarly journals Socio-demographic Characteristics of Depressive Illness Patients Attending a Selected Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 178-180
Author(s):  
Md Abdul Hamid ◽  
Md Mahbubur Rahman ◽  
Md Rafiqul Islam ◽  
Sheikh Shahidul Islam
Keyword(s):  
Gender Difference ◽  
Care Delivery ◽  
Public Health Problem ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Depressive Illness ◽  
Child Rearing ◽  
Military Hospital ◽  
Important Public Health Problem ◽  
Cross Sectional

Introduction:Depressive illness is generally not perceived as an important public health problem and is not priority in health care delivery system in Bangladesh. It is the leading cause of disease-related disability in the country today. Gender differences in depression are likely to be result of certain risk factors. Objectives: To find out gender difference in epidemiological and socio-demographic features associated with depressive illness. Materials and Methods: This descriptive cross sectional study was carried out among 91 diagnosed depressive patients attending in the psychiatry department of CMH Dhaka from January to December 2014. The patients were interviewed through an interviewer-administered questionnaire. Data were analyzed by using SPSS version 20.  Chi-square test was used to see the level of significance. Results: In this study the mean age of the patients was 34.47±9.577 years. The study revealed that depressive illness appears to be  more in female during child bearing and child rearing period of 16-39 years and male of 40-63 years were more sufferer than female which was significantly different (p<0.05). In this study 63.74% of patients were female and 36.26% were male with ratio of 1.757:1. It was observed that the association of depression with residence in urban area in female (72.1%) was significantly (p<0.05) higher than male (27.9%) in the same area. This study revealed that the association of depression with history of financial hardship in female was statistically significant (p<0.05) over their male counter-part.The study also revealed that strenuous job was significantly (p<0.05) associated with depression in female than male. Conclusion:  The overall finding of the study indicates that possibility of gender difference in certain epidemiological and sociodemographic features of depressive illness is significantly present. As depressive illness has significant impact on burden of disease and quality of life, this issue needs to be addressed. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 178-180

scholarly journals HUBUNGAN JUMLAH PEMERIKSAAN ANTENATAL DENGAN HASIL KEHAMILAN DAN PERSALINAN DI RSUP PROF. DR. R.D. KANDOU MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Janson Simanjuntak ◽  
Joice M. M. Sondakh ◽  
Freddy Wagey
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Operative Delivery ◽  
Cross Sectional ◽  
Perinatal Deaths ◽  
Delivery Outcome ◽  
North Sulawesi

Abstract: Maternal and perinatal mortality rate in Indonesia is still high. The most cause of maternal and perinatal deaths related to pregnancy and complication of pregnancy can be prevented. Adequate antenatal care is an important factor in reducing maternal and perinatal deaths. This is an analytic observasional cross-sectional study of 2268 women delivered and 2305 neonates born at Prof.Dr.R.D.Kandou Manado hospital  was used. Data is collected from medical record. This study shows that number of antenatal care <4 times is significantly associated with the incidence of severe asphyxia (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) and low birth weight (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). The number of antenatal care >4 times is significantly associated with operative delivery (p=0,001), this is due to Prof.Dr.R.D.Kandou Manado hospital is a referral hospital in North Sulawesi, many samples in this study are women with complicated pregnancy (26,7%). Pregnancy with complications is significantly related to operative delivery  (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Conclusion is number of antenatal care <4 times relates and increases the risk of incidence of asphyxia and low birth weight, while women with operative delivery are likely to have history of antenatal care visit more (>4 times) during pregnancy. Keywords: antenatal care, delivery outcome, pregnancy outcome.   Abstrak: Angka kematian ibu dan perinatal di Indonesia masih tinggi. Sebagian besar penyebab kematian ibu dan perinatal yang berhubungan dengan kehamilan dan komplikasi kehamilan dapat dicegah.Pemeriksaan antenatal yang adekuat merupakan faktor penting dalam menurunkan angka kematian ibu dan perinatal. Jenis penelitian ini adalah analitik observatif cross-sectionalterhadap 2268 ibu yang melahirkan di RSUP Prof.Dr.R.D.Kandou Manado dan 2305 bayi yang dilahirkan. Data diperoleh dari catatan medis.Hasil penelitian ini menunjukkan jumlah pemeriksaan antenatal <4 kali berhubungan dengan kejadian asfiksia berat (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) danBBLR (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). Jumlah pemeriksaan antenatal >4 kali berhubungan dengan persalinan tindakan (p=0,001), hal ini disebabkan RSUP Prof.Dr.R.D.Kandou Manado merupakan rumah sakit rujukan di Sulawesi Utara sehingga banyak sampel pada penelitian ini adalah ibu-ibu dengan kehamilan dengan komplikasi (26,7%). Kehamilan dengan komplikasi berhubungan dengan persalinan tindakan (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Kesimpulan penelitian ini menunjukkan bahwa jumlah pemeriksaan antenatal <4 kali berhubungan dan meningkatkan risiko kejadian asfiksia berat dan BBLR, sementara itu wanita yang melakukan persalinan tindakan cenderung memiliki riwayat melakukan pemeriksaan antenatal lebih banyak (>4 kali) selama kehamilan. Kata kunci:hasil kehamilan, hasil persalinan, pemeriksaan antenatal

scholarly journals Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga
Keyword(s):  
Family Income ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services ◽  
Study Population

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.

scholarly journals HOUSEHOLD SECONDARY ATTACK RATE OF COVID-19 AND ITS ASSOCIATED RISK FACTORS IN WESTERN UTTAR PRADESH: A CROSS SECTIONAL STUDY

2020 ◽  
pp. 74-75
Author(s):  
Harivansh Chopra ◽  
Tanveer Bano ◽  
Gargi Pandey
Keyword(s):  
Attack Rate ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Scientific Models ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Household Contacts ◽  
Health Organization ◽  
Associated Risk Factors

Coronavirus disease was declared pandemic by World health organization in March 2020. Since then many prediction based on scientific models regarding its transmission were done. This cross sectional study was done on household contacts of 100 COVID-19 recovered and discharged cases. Secondary attack rate among family members was found out to be 27.41%. A significant association was found in occurrence of secondary cases in relation to joint family, overcrowding, non use of facemask and infrequent hand washing

scholarly journals Teachers’ view about feminization of Medical Education in Bangladesh

2021 ◽  
Vol 12 (2) ◽  
pp. 4-9
Author(s):  
Muqbula Tasrin Aktar ◽  
Fuad Reajwan Kabir ◽  
M Kumrul Hasan ◽  
Md Rafiqul Islam
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Female Students ◽  
Working Environment ◽  
Medical Emergency ◽  
Cross Sectional ◽  
The Impact

This descriptive type of cross-sectional study was driven to explore the teachers’ view about feminization of medical education in Bangladesh. This study was carried out in 4 government and 4 non-government medical colleges of Bangladesh during the period of July 2019 to June 2020. From all four phases, total 104 teachers were respondents of this study to seek information regarding the factors affecting and effects of feminization of medical education in Bangladesh with a pretested self-administered questionnaire. The study revealed that high social respect, high marriage value, parental pressure, financial security are the factors for feminization of medical education in Bangladesh. Other factor that may influence female students to get admitted in the MBBS course is female students are more studious. There are limited better alternate profession for female students. This study also revealed that empathetic to patients are more satisfied with female doctors, they like some specific subspecialty as their career choice and feminization do not hamper quality of health care. 46 (44.2%) teachers were disagreed that female doctors like to work in rural area. and 49 (47.1%) teachers were disagreed that female doctors are efficient in medical emergency management during disaster. Study recommended establishment of female friendly working environment at all levels of the hospital. Study also recommended further long term and wider scale study with more participants to observe the impact of feminization of medical education on health care delivery system in Bangladesh Bangladesh Journal of Medical Education Vol.12(2) July 2021: 4-9

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