scholarly journals Prevalence of caesarean section and womens' attitude towards caesarean section in Manipur, North-Eastern India

Author(s):  
Joymati Oinam ◽  
Shantibala Kongjenbam ◽  
Yumnam Ningthemba Singh

Background: The rapid increase of caesarean section (CS) rate throughout the world has become a serious public health issue since the level of CS is well above the WHO (1985) recommended 15% and it is increasing over time. Objectives of the study was to determine the prevalence of caesarean section and women’s attitudes towards CS, to investigate rural-urban differences and any associated factors between attitude with socio-demographic factors.Methods: A cross-sectional study was conducted in urban and rural areas of three districts of Manipur from 2015 to 2017 among 600 eligible married women aged 18-35 years selected by simple random sampling. Household was taken as sampling unit and electoral roll (2013) as sampling frame. An interview schedule was used for data collection. Descriptive statistics like mean, SD, proportion and inferential statistics like χ2 test was used. p-value 0.05 was considered as statistically significant.Results: Mean age of the participants was 29.7±4.6 years. The overall prevalence of CS rate was 18.5% and the first child CS rate was 19.9% and majority of them belongs to 30-35 age groups. Majority of the women (84.2%) have neutral attitude and only 7.6% have favorable attitude towards CS. Favorable attitude towards CS was more among women who married at ≥30 years, whose husband was >30 years and was a government employee and who ever had CS.Conclusions: Although the prevalence of CS is well above the WHO (1985) recommendation. Majority still preferred vaginal delivery and the demand for CS is low in the present setting. 

2021 ◽  
Author(s):  
Hawa Kedir ◽  
Godana Arero

Abstract Background: An underweight individual is a somebody whose body weight is considered too low (BMI <18.5) to be healthy. The similar idea applies to lactating mothers. However, little is known about underweight status among lactating women in the study area. The objective of study to assess incidence of underweight and related issues among lactating mothers in Dodota district of Arsi Zone, Oromia, Ethiopia, from February 1-28, 2021.Method: The cross-sectional study design was done on 355 lactating mothers. The starata and simple random sampling technique were used. The structured questionnaire and anthropometric measurements were used. Data were entered and cleaned using Epi info version 7.1 and SPSS version 21 for analysis. Bivariate and multivariate analysis were done. Descriptive statistics wree performed. The crude and adjusted odds ratio along with 95%CI were used to measure the strength of association. The level of statistical significance was declared at a p-value < 0.05. Result: Study revealed (14.1) lactating mother were underweight. Rural areas, (AOR=2.5 [95% CI: (1.061, 6.302), the practice of food taboos (AOR= 2.3, [95% CI: (1.045, 5.084) and income level(AOR= 2.1[95% CI: (1.003, 4. 460) were found to be independent determinants of underweight among lactating mothers in the study area. Conclusions: The prevalence of underweight among lactating mothers was lower.


2010 ◽  
Vol 04 (03) ◽  
pp. 298-307 ◽  
Author(s):  
KM Shivakumar ◽  
GN Chandu ◽  
MD Shafiulla

Objectives: To assess the severity of malocclusion and orthodontic treatment needs among 12- to 15-year-old school children of Davangere District, India, by using the Dental Aesthetic Index (DAI).Methods: A descriptive cross-sectional study was conducted among 1800 12- to 15-year-old school children of Davangere District, Karnataka, India. Talukas (administrative units in some states in India) were considered clusters. Schools were selected using simple random sampling procedures. The 300 study subjects were selected using systematic random sampling procedures. Data consisting of DAI components were recorded pro forma. The collected data were subjected to statistical analysis. The Chi-square test (X2) was used to compare malocclusion severity. The analysis of variance (ANOVA) test was used to compare the changes in DAI scores and the mean DAI scores between age groups. The Z test was used to compare mean DAI scores between the 2 sexes and between children residing in urban and rural areas.Results: Of the 1800 school children examined, 899 (49.9%) were boys and 901 (50.1%) were girls. Most of the children (79.9%) had DAI scores ≤ 25 with no or minor malocclusion requiring no or little treatment, 15.4% had DAI scores of 26–30 with definite malocclusion requiring elective treatment, 4.2% had DAI scores of 31–35 with severe malocclusion requiring highly desirable treatment, and 0.5% had DAI scores ≥ 36 with handicapping malocclusion requiring mandatory treatment.Conclusions: The majority of the children in our study (79.9%) required no or little treatment; 20.1% had definite malocclusion requiring definite orthodontic treatment. (Eur J Dent 2010;4:298- 307)


Author(s):  
Mariyam Khwaja ◽  
M. Athar Ansari ◽  
Saira Mehnaz

Background: Hypertension is a global public health issue. Hypertensive heart disease is one of the top ten leading causes of death in the world. It was responsible for an estimated 1.1 million deaths worldwide in 2012. To prevent some of the complications of hypertension regular intake of the prescribed treatment in the form of medicines (pills) is essential. Poor compliance to anti-hypertensive therapy is usually associated with bad outcome of the disease and wastage of limited health care resources. With these viewpoints the study aimed to assess the level of compliance of hypertensive patients to their anti-hypertensive medications and to determine the socio-demographic correlates of compliance. Methods: This was community based cross sectional study conducted in urban and rural areas in Aligarh. A total of 350 hypertensive patients were selected using simple random sampling. A pretested semi-structured questionnaire was used. Compliance was measured by Morisky 8-item Medication Adherence scale. Analysis was done using proportions and Chi-square test. Results: The overall compliance of study population was 23.7%. It was found to be significantly associated with gender, education, social class and associated co morbidities. Education, higher social class and duration of hypertension were found to be the main facilitators to adherence. The barriers to adherence were cost of drug and more number of pills per day. Conclusions: Patient education, family counselling and social support networks should be strengthened in health promotion programs in order to enhance compliance of hypertensive patients with the therapeutic regimen and to improve their quality of life. 


Author(s):  
Namrata Panigrahi ◽  
Nivedita Karmee ◽  
R. M. Tripathy ◽  
Monali Kar

Background: The rapid rise in CS rate has become a serious public health issue now-a-days because unnecessary caesareans generate higher expenditure at individual and national levels and have the potential to divert human and financial resources from higher priority intervention. Therefore the present study was carried out to know the indications and determinants of caesarean births in a tertiary hospital of Odisha.Methods: A hospital based cross-sectional study was conducted among women who delivered by caesarean section in O and G department of MKCG Medical College Hospital, Berhampur from July to October 2016 using a pretested semi-structured questionnaire. The data was analysed using appropriate statistical tests such as proportion, chi square test using SPSS software. P value of less than 0.05 is considered as statistically significant.Results: Premature rupture of membrane with oligohydramnias was the major indication in 31.4% cases followed by previous CS in 20.1% cases. Out of socio-demographic factors age (P value = 0.001) and educational status of women (P value= 0.042) were significantly associated with type of CS. Foetal presentation (P value= 0.003), interval between labour and CS (P value <0.01) and type of admission (P value = 0.05) were major obstetric determinants of CS.Conclusions: In order to safeguard the health of mother and child from effects of unnecessary caesarean births, regular antenatal checkups, proper birth preparedness along with timely diagnosis and management of complications is necessary.


2019 ◽  
Author(s):  
Chanda Chalela

BACKGROUND ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 OBJECTIVE Prevalence of ITN in BUchi METHODS Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. RESULTS ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. Findings: household ownership of at least an ITN was 52% and individual utilization at 37.6%, with 0.825 ITN/households and 0.195ITN /individual. Malaria prevalence of 52.4% /household and a 12.4% of the population. With 47.6% malaria patient coming from households with ITN and 60% of households with ITN have insufficient coverage.61% of malaria patient were female and 31 % male. however there was no significant relation between Gender and malaria prevalence in study area (p value was >0.05). Malaria cases distribution with age groups, 0-15yrs old represented 49.5%, 16-30 yrs., was at 27.6% and the over 30 yrs. case were at 22.9% .use of other preventive measures 23% used mosquito repellent ,others methods 1% with those not using any other methods 76%. CONCLUSIONS Conclusion The study showed clearly that malaria still poses a problem .the prevalence rate of malaria was still high 12.4% of the population and 52.4% of households. With high prevalence of malaria of 49.5% for 0-15yrs.the difference between ownership 52% and Utilization 37.6% showed that even household with ITN, the ITN were not sufficient.60% of households with ITN, the ITN were not sufficient for all occupants


Author(s):  
Indra Agussamad ◽  
Maya Sari

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan.WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7%-nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien. Penelitian ini bersifat analitik dengan desain cross sectional study dengan jumlah sampel 72 perawat dengan menggunakan teknik simple random sampling,dan penelitian ini secara univariat dan bivariat dengan Chy-Square yang disajikan dalam bentuk tabel. Hasil menunjukkan bahwa terdapat adanya hubungan yang signifikan antara pengetahuan, pengawasan, motivasi, sikap dan ketersediaan alat terhadap kepatuhan perawat rawat inap dalam menggunakan alat pelindung diri dengan(p-value< 0,05).


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.


2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  

Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.


2019 ◽  
Author(s):  
Mahvish Ponum ◽  
Saadia Khan ◽  
Osman Hasan ◽  
Muhammad Tahir Mahmood ◽  
Asad Abbas ◽  
...  

BACKGROUND Stunting is a major public health issue in most of developing countries. Although, its worldwide prevalence is decreasing slowly but the number of stunted children is still rising in Pakistan. Stunting is highly associated with several long-term consequences, including higher rate of mortality and morbidity, deficient cognitive growth, school performance, learning capacity, work capacity and work productivity. To prevent stunting, we proposed Stunting Diagnostic and Education app. This app includes detailed knowledge of stunting and it’s all forms, symptoms, causes, video tutorials and guidelines by the Pediatricians and Nutritionists. OBJECTIVE The aim and objective of this study is to assess the prevalence of stunting in school-going children in Multan District of Punjab Pakistan and to analyze the risk factors associated with stunting in children under and over 5 age. This study presents Stunting Diagnostic and Education app to prevent the stunting in children under 5 age and children over 5 age (where required). METHODS A cross-sectional study has been conducted in schools of Multan District, Pakistan for the period of January 2019 to June 2019. Sample data of 1420 children, aged 4 to 18 years using three age groups, were analyzed by using SPSS version 21.0 to assess the prevalence of stunting and to analyze the main factors associated with it. Chi square test was applied in comparison with rural and urban participants and p-value <0.05 was considered as significant. This study includes distribution of sociodemographic characteristics, parental education, working status of mothers, dietary patterns of school going children and prevalence of stunting in school going children. After getting study results, Stunting Diagnostic and Education app was developed according to the instructions of child experts and nutritionists. RESULTS 354 (24.93%) participants were stunted out of 1420, 11.9 % children were obese and 63.17% children were normal. Out of 354 stunted children, higher ratio of stunting was found in the age group of 8-11 years children with 51.98 percentage. 37.85% stunted children were found in the age group of 4-7 years and 10.17% stunting was found in the age group of 12-18 years children. It was observed in the study that male children were highly stunted than female with 57.91 % and 42.09% respectively. Children living in rural areas were more stunted affected as compared to the children living in urban society with percentage 58.76 and 41.24 respectively. CONCLUSIONS Our study concluded that 24.93% children were stunted, out of which, age group of 8-11 years children were highly stunted. The study showed that the literacy of mother or caregiver had high impact on children’s health. Therefore, Stunting Diagnostic and Education app was developed to educate mothers to prevent stunting.


2021 ◽  
Author(s):  
Alemayehu Amsalu

Abstract Background: In the globe, on April 2021, 130 million coronavirus cases, around 2.8 million were deaths, 102 million were recovered and 105.2 million were closed cases of COVID-19 reported. On April 2021, the world population were 7.9 billion of which United Nations estimates were 1.65% COVID-19 cases included the Ethiopia in report. The main objective of the study was identify the challenges of in control COVID-19.Methods: The cross-sectional study design was used November to February 2021 in Injibera from Ethiopia. The total 385 respondents using simple random sampling were interviewed. The chi-square test of association and ordinal logistic regression was applied to identify the effect of predictor variables on challenges in control COVID-19.Results: Out of 385 respondents 277(71.95%) were high challenges in control COVID-19 in Injibera. There was a significant relationship with social media and challenges of in control virus (p-value = 0.047). The variables considered social media, housing status and influence were significant relationship with challenges of in control virus (p-value < 5%). Facebook users were the responsible causes of challenges in control COVID-19 (p-value = 0.023). The more social media followed, decreased the occurrence of challenges in control virus. In addition, a unit increase rented, the challenges in control virus decreased by 0.60 times (p-value = 0.009).Conclusion: Winning against the coronavirus together with world couldn’t be a marathon. COVID-19 couldn’t be won without collective global and local effort. It would also need serious thinking, discipline and war against the only virus. COVID-19 war needs in control, the globe should be faced free, coordination and discover scientific methods together.


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