scholarly journals Knowledge, attitude and practices regarding no scalpel vasectomy in married men attending urban and rural health facilities in Maharashtra, India

Author(s):  
Pallavi A. Uplap ◽  
Vaidehi Malvi

Background: India will soon surpass China as the world’s most populous nation by 2022. Though India was the first to launch family planning in 1952, population stabilization remains a distant dream. No scalpel vasectomy (NSV) is a modified and sophisticated technique of vasectomy which can be performed in low resource settings. However, acceptance of NSV is declining in India including Maharashtra. Hence a study was conducted to evaluate factors affecting acceptance of NSV amongst married men visiting urban and rural health facilities of Maharashtra.Methods: A cross sectional study was conducted amongst randomly selected 50 married males of 21 years old and above each in conveniently selected urban and rural health centre under a medical college. After obtaining written informed consent from the participants, data was collected from November to December 2018 with the help of semi structured questionnaire. Socio-demographic information, knowledge, attitude and practices were entered and analyzed in Epi Info 7. Study was approved by the institutional ethics committee.Results: Majority (60%) of men attending the urban health care setup knew about NSV compared to those attending rural set up (34%). More number of participants from rural area (62%) were of opinion that NSV affects sexual performance as compared to urban area (44%). Willingness to recommend NSV to others was 62% and 32% in urban and rural men respectively. None of the participants (0%) underwent NSV.Conclusions: There is a huge gap between knowledge, attitude and practices regarding NSV in the study participants. It shows a need to revise strategies for its promotion.

2007 ◽  
Vol 47 (4) ◽  
pp. 161
Author(s):  
Syafruddin Haris ◽  
Sri Sofyani ◽  
Bidasari Lubis ◽  
Munar Lubis ◽  
Syahril Pasaribu ◽  
...  

Background Malaria is still considered to be an important healthproblem in Indonesia. Malaria has been found in islands withdifferent degree of endemicity. Behavior of the community isone of the factors affecting the incidence of malaria in MandailingNatal district.Objective To know the parental knowledge, attitude, and practiceamong parents whose children suffered from malaria or not.Methods A cross sectional study was conducted in six primaryschools and one health centre in October 2004. Subjects wereparents whose children were malaria positive and malaria negativebased on laboratory examination. Sample size was 85 parents foreach group. Selected respondents were interviewed usingstructured questionnaire. Degree of knowledge, attitude, andpractice on malaria were established using scoring system withinthree categories: good, less, and poor. Data were collected andpresented using chi-square and P<0.05 was considered as a levelof significant.Results The mean age of 85 parents whose children were positivemalaria, was 38.47 years (SD 6.67) and the mean age of thosewhose children were negative malaria was 40.41 years (SD 8.05).Parent’s education level was 62.9% primary school and 90% oftheir children were school-aged. There were significant differenceson parental knowledge, attitude and practice in each group(P<0.05). There was also a significant correlation betweenoccupation and knowledge, but not between parental educationlevel and parental age. Parental knowledge and attitude on theincidence of malaria in Mandailing Natal district were good,though their practice were poor.Conclusion There are significant differences on parentalknowledge, attitude and practice, between parents whose childrenwere positive and negative for malaria.


2020 ◽  
Vol 10 (3) ◽  
pp. 86-90
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Agegnehu Bante

Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. Some studies were conducted, but most are retrospective and record reviews. Besides, there is limited study in country-Ethiopia. Therefore, this study aimed to assess the recent status of low fifth-minute Apgar scores and factors affecting in the study setting. Methods: A facility-based cross-sectional study was conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. Study participants were selected using a systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist were used to collect the data. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ratio was computed in the binary logistic regression model. In this study, P-value, < 0.05 was considered to declare factors as a statistically significant association. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should be recommended.


Author(s):  
Rajendra Solanki ◽  
Hiteshri C. Patel ◽  
J. K. Kosambiya

Background: In spite of significant growth and expansion of family planning programme, pregnancy continues to be unplanned. This study has been conducted to identify determinant responsible for use of contraception. The aim of the study was to determine the factors affecting the use of the contraceptives. The objectives were to study Socio – demographic, fertility profile of eligible couples and its relation to use of contraceptionMethods: This is a cross sectional study conducted during period of 20th September 2014 to 15th January 2015. Three PHCs were selected purposively from Olpad taluka of the Surat District. Two Sub Centers were selected randomly from each PHC. Data regarding eligible couples were collected from Sub Center register. From each Sub Center, 47 eligible women were selected randomly. Total sample size was 280 (CPR: 60%, DLHS-3).Results: Mean age of study participants were 29.14±6.7 years. Out of total women, 18.6% women were married before attaining the age of 18 years. More than 50% women were 20-24 years of age group at the time of birth of first child where as 25.4% women gave birth to first child before the age of 20 years. There was significant association between use of Contraceptive methods with factors like age of women, caste, religion, education of women, education of husband and number of children (p<0.05). At the time of sterilization, number of children and gender of last child plaed a significant role.Conclusions: Women should be empowered with education regarding use of contraception. Child marriage act should be strictly followed.


2021 ◽  
Vol 5 (1) ◽  
pp. 69-74
Author(s):  
Patrick L. Mabula ◽  
Kelly I. Kazinyingi ◽  
Edwin Christian Chavala ◽  
Victor Mosha ◽  
Sia E. Msuya ◽  
...  

Background: Diabetes Mellitus (DM) is a worldwide public health problem and its prevalence has been rising rapidly in low and middle income countries (LMICs) including Tanzania. According to WHO report 2015, DM is ranked number six as a leading cause of death worldwide. Strong evidence suggests that DM may be associated with Tuberculosis (TB) and could affect TB treatment outcomes. Tanzania is among the 22 countries that have a high burden of TB and currently facing increased epidemic of DM. The increasing diabetes prevalence may be a threat to TB control and counteract strategies to end TB by 2030 as proposed by WHO. Objective: To determine proportion of TB patients who are co-infected with DM in Moshi municipal council, Kilimanjaro Tanzania. Methodology: This study was a hospital based cross-sectional study conducted in April to July 2018 at 4 health facilities; Mawenzi Regional Referral hospital, St. Joseph District Designated hospital, Pasua Health center and Majengo Health centre in Moshi municipal. The study included adults aged 18 years and above attending either of the 4 health facilities for TB care. The study included newly diagnosed and those who were on TB treatment. Interviews were conducted followed by blood glucose testing. Data was entered and analysed using SPSS Results: A total of 153 TB patients were enrolled, their mean age was 42.5 (±14.75) years and 46 (30.1%) were females. The prevalence of DM among TB patients in this study was 9.2%. Factors associated with TB-DM comorbidity were: age (OR 4.43, 95% CI: 1.18-16.55), HIV status (OR 3.88, 95% CI: 1.06-14.11), and family history of DM (OR 6.50, 95% CI 0.67-25.56). Conclusion: One in ten patients with TB had confirmed DM. There is a need for future studies to assess if DM influences TB treatment and outcomes in this setting.


2015 ◽  
Vol 7 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Elayarani Elavarasan ◽  
Manasi S. Padhyegurjar ◽  
Shekhar B. Padhyegurjar

Aims and Objective: Mother and child together form the majority of the population in developing countries. Though they have maximum number of health services attributed to them, morbidity and mortality rates for antenatal women and children are very high. Lack of comprehensionof preventive services is one of the important reasons for this. This study was planned with the aim of assessing the knowledge and awareness levels among pregnant women about antenatal care and regarding various aspects of new born and infant care among mothers of under three.Materials and Methods:This is a community based cross- sectional study involving beneficiaries attending the Rural Health Centre of a teaching Medical College, in Tamil Nadu.Results: Awareness about routine antenatal care, danger signs of pregnancy and preparation for emergency labour were observed to be poor among antenatal women. Knowledge about new born care, infant feeding practices, immunization, newborn and childhood illnesses were all found inadequate among mothers of under three. All the aspects were better in antenatal women who were educated, could read Tamil, and belonged to joint family. But these factors had no effect of mothers of under three. Health workers and family members were the major source of information for both the groups.Conclusion: Knowledge is observed to be poor, inspite of all the participants being beneficiaries of Rural Health Centre and the majority of them being educated up to secondary standard. Efficient use of existing health services, giving health education sessions with precise messages will help to increase awareness.Asian Journal of Medical Sciences Vol.7(1) 2015 59-65


2020 ◽  
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Agegnehu Bante

Abstract Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. The majority studies conducted were retrospective and prone to bias. In addition, there is limited study in Ethiopia that shows the recent status of low fifth-minute Apgar scores and factors affecting. Therefore, this study intends to fill those gaps. Methods: A facility-based cross-sectional study conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. A study participants selected by using systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist used to collect the data. Data entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ration computed in the binary logistic regression model. In this study, P-value, < 0.05 considered to declare factors as statistically significant. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should recommended. Keywords: Apgar scores, Newborns, Arba Minch


2020 ◽  
Vol 9 (3) ◽  
pp. 144-148
Author(s):  
Saadia Basharat ◽  
Ramesh Kumar ◽  
Mudassar Mushtaq ◽  
Muhammad Mohsin

Background: Antibiotic resistance is found to be a continuous threat to effective prevention and treatment of infections and it is a common problem the world facing these days. The severity of problem has increased especially in developing countries with lack of understanding. The objective of the study was to assess the Knowledge, Attitude and Practices of antibiotic resistance among different types of health care professionals working in governmental sector of Punjab, Pakistan. Methods: A Cross sectional study was conducted by distributing questionnaire with 136 healthcare professionals working in Tehsil Head Quarter Hospital Gujar Khan, Rural Health Centre Qazian, Rural Health Centre Mandra and Rural Health Centre Daultala. Ethical approval was granted by the Institutional Review Board of Health Services Academy Islamabad. Questions were of true or false type in knowledge section. A Likert scale was used to assess of participants regarding use of antibiotics and its resistance developed among the patients. The responses of this scale ranged "from strongly agreed to strongly disagree, from always to never" and Practices were measured by different factors and drivers. Results: The total number of participants was 136, out of which there were (35%) males and 88 (65%) females. 80 respondents were from THQ Hospital Gujar khan and 56 participants were from three RHCs. It was found in the study that majority 79% (n=107) respondents were demanding by themselves to prescribe them antibiotics. It was found that more than half or 60% (n=81) people strongly agreed that antibiotic resistance is one of the biggest issue worldwide that needs to be addressed. The overall knowledge was found to be good but there were attitude and practice problems. Conclusion: The findings of this study indicate a diverse level of understanding of antibiotics resistance among different health care professionals. Therefore, serious concerns and efforts are still needed to develop, education and trainings to implement strategies to minimize the future risks of antibiotic resistance.


Author(s):  
Swati T. Dahake ◽  
Uzma A. Shaikh

Background: Prevalence of type 2 diabetes is increasing globally, more so in developing countries like India due to rapid urbanization. As India ranks first in diabetes prevalence and will continue to do so in 2025, we must prevent the disease by various measures. Therefore, prevention is important aspects. The aim of the study was to assess the knowledge, attitude and practices of patients having type 2 diabetes mellitus.Methods: A cross sectional study was done in the urban and rural health centre among 100 diabetes patients in each. Data were collected regarding their knowledge, attitude and practices about diabetes and associated risk factors. Data was analyzed by SPSS 20 version.Results: Mean age of the study respondents were 50.45 and 52.50 years in urban and rural health centers respectively. We found that most patients are having good knowledge about diabetes mellitus in urban health centre while rural population had low knowledge. Both groups had most subjects with low level of education and low income groups. Very low percent of people know about the complications of diabetes mellitus in both the groups.Conclusions: This study showed that there was good knowledge, attitude and practice in urban and very poor knowledge, attitude and practices in rural about the diabetes which needs to be increased. Life style modification is needed for reducing the complications of diabetes mellitus. 


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