scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

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.

Cross-Sectional Study on Stigma among Care Givers of Patients with Mental Illness in Kanchipuram District, Tamil Nadu

2021 ◽  
Vol 8 (28) ◽  
pp. 2484-2488
Author(s):  
Umesh G ◽  
Asokan T.V. ◽  
Roselin V ◽  
Sri Santhanakrishnan V V
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Sectional Study ◽  
Interview Schedule ◽  
Cross Sectional ◽  
Health Care Center ◽  
Care Givers ◽  
Family Interview

BACKGROUND Stigma experienced by caregivers of patients with mental illnesses remains unnoticed. This study was conducted to evaluate the stigma perceived by the care givers of patients with various mental illnesses and the factors associated with stigma. METHODS This cross-sectional study was conducted among the care givers of patients with mental illnesses who accompanied the patients to the outpatient department (OPD) of Psychiatry in Meenakshi Medical College Hospital and Research Institute, from January 2017 to March 2017. A total of hundred care givers were included in the study. All care givers aged between 18 - 50 years of age in both sexes were included in the study. Care givers of substance abuse cases were excluded from the study. A total of hundred care givers with fifty care givers of neurosis patients and another fifty care givers of psychosis were included in the study. Family interview schedule (FIS) stigma scale was used to assess the stigma perceived by care givers. Data was entered in Microsoft excel and data analysis was done using statistical package for social sciences (SPSS) version 17. RESULTS Mean perceived stigma score was 12.27 ± 9.43. High, low and zero stigma was noted among 44 %, 36 % and 20 % of care givers, respectively. Also, it was found that care givers of psychosis patients had more stigma than the care givers of neurosis patients (P = 0.0008). Statistically significant association was found between patient’s duration of illness (P = 0.003), patient’s diagnosis (P = 0.000) and care givers burden (P = 0.000) with severity of stigma perceived by the care givers. CONCLUSIONS Proportion of stigma prevailing among the care givers is high and it depicts only the cases which were reported to the health care center, whereas a larger proportion of cases remains not seeking the health care. An early intervention by conducting routine assessments of the mental status of caregivers is necessary. KEYWORDS Stigma, Care Givers, Mental Illnesses, Family Interview Schedule

scholarly journals VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Kalpana P Padala ◽  
Kerrie B Wilson ◽  
C Heath Gauss ◽  
Jessica D Stovall ◽  
Prasad R Padala
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Areas ◽  
Electronic Device ◽  
Health Care Systems ◽  
Clinical Care ◽  
Cross Sectional Study ◽  
Willingness To Participate ◽  
Sectional Study ◽  
Cross Sectional

BACKGROUND The COVID-19 pandemic has accelerated the need for telehealth at home. Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session. OBJECTIVE The aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic. METHODS A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans’ willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone. RESULTS Participants’ mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (<i>P</i>=.045) and in those with or less than a high school education compared to those who pursued higher education (<i>P</i>=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (<i>P</i>=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful. CONCLUSIONS Despite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.

scholarly journals VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study

10.2196/21561 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e21561
Author(s):  
Kalpana P Padala ◽  
Kerrie B Wilson ◽  
C Heath Gauss ◽  
Jessica D Stovall ◽  
Prasad R Padala
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Areas ◽  
Electronic Device ◽  
Health Care Systems ◽  
Clinical Care ◽  
Cross Sectional Study ◽  
Willingness To Participate ◽  
Sectional Study ◽  
Cross Sectional

Background The COVID-19 pandemic has accelerated the need for telehealth at home. Although the Department of Veterans Affairs is a leading provider of telehealth, disparities may exist in reaching older veterans living in rural areas. VA Video Connect (VVC) is a video conferencing app that enables veterans to connect with their health care provider via a secure and private session. Objective The aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic. Methods A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans’ willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone. Results Participants’ mean age was 72.6 (SD 8.3) years, 92% (n=108) were male, 69% (n=81) were Caucasian, 30% (n=35) were African Americans, and 36% (n=42) lived in a rural location. The majority reported having access to the internet (n=93, 77%) and email service (n=83, 70%), but only 56% (n=67) had a camera-equipped device. Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit. In total, 77% (n=27) of the scheduled VVC visits were successful. Conclusions Despite advances in technology, and willingness on the part of health care systems, there are some lingering issues with capability and willingness to participate in video telehealth visits, particularly among older adults residing in rural areas.

scholarly journals A cross sectional study on needle stick and sharp injuries among health care providers in tertiary centers, Tamil Nadu

2018 ◽  
Vol 5 (3) ◽  
pp. 982 ◽  
Author(s):  
Archana Lakshmi P. A. ◽  
Ashrof Raja ◽  
Meriton Stanly A. ◽  
Christina Mary Paul ◽  
Gladius Jennifer H.
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Hypodermic Needle ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Needle Stick ◽  
One Year

Background: Health care workers are at risk of acquiring life threatening blood borne infections through needle stick and sharp injuries (NSSI) in their work place. This study was planned to highlight some important factors responsible for NSSI and possible measures to reduce it. The objective of the study was to assess the factors associated with NSSI and reasons for under-reporting. Methods: A cross sectional study was done during November 2014 to April 2015 in two tertiary health care institutions. All health care providers (Doctors, nurses and lab technicians) who had more than one year experience and gave informed consent were included. Data collected by pretested structured questionnaire. Data analysis was done using SPSS 20v and summarized by descriptive statistics. Proportion and Chi-square was calculated at 5% α. Results: Among 950 health care providers (HCPS), 649 (68.3%) had NSSI during their carrier, 335 (35.3%) in last one year. Females 225 (67.2%) experienced more NSSI. This study shows that, 98 (29.3%) HCPs had sustained injury once. Among the doctors, 51.4% Anaesthetist (p=0.001) and its more among the nurses (38.4%) followed by doctors (36.6%) (p=0.002). NSSI was more common among HCP who work between 30-40 hrs (p=0.00001). Majority of them sustained injury while performing the procedure 134 (40%), commonest place of injury was OT 149 (44.5%) and commonest item responsible was hypodermic needle 141 (42.1%). Only 50 (14.9%) reported to the concerned authority and follow up action was taken. Conclusions: The study shows high prevalence of NSSI, emphasizing the need for safe measures for handling sharps to prevent transmission of infection. 

scholarly journals Morbidity pattern of elderly women of rural North Karnataka: a community based cross-sectional study

2017 ◽  
Vol 4 (11) ◽  
pp. 4286
Author(s):  
K. Kriti Bhat ◽  
M. C. Yadavannavar
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Rural Elderly ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: With the increasing life expectancy, the population around the world is growing old at a higher rate. Ensuring their quality of life and addressing their health care needs is a major challenge ahead. Elderly women are more vulnerable and there is a dearth for information regarding their health problems in India. Therefore, this study was undertaken focusing on the health problems of rural elderly women. The objective of the study was to assess the morbidity pattern of rural elderly women.Methods: A community based cross-sectional study was conducted in the rural field practice area of Shri B M Patil Medical College, Vijayapura from November 2015 to February 2016. A house-to-house survey was done and 200 women aged ≥60 years were included in the study. They were interviewed using pretested and predesigned questionnaire after obtaining informed consent. Information regarding demographic profile, present or past illness, economic history and physical activity of daily living were collected. Analysis was done using SPSS v.16 and data was represented using proportions and percentages.Results: Majority of the participants were illiterate (96.4%). Most (83.6%) of them were financially dependent. Most common chronic illness was arthritis (73.3%) and visual problem (58.8%).Conclusions: Our study reveals majority of the elderly women are suffering from one or multiple chronic illnesses. As a matter of fact, there is an urgent need to develop better health care services for the elderly women residing in rural areas.

scholarly journals A cross sectional study to assess the discrimination faced by trans genders in health care facilities- Chennai, Tamil Nadu

2018 ◽  
Vol 5 (2) ◽  
pp. 662
Author(s):  
Chitra A. ◽  
Sakthimarieswari G. M. ◽  
Kaleeswaran S. ◽  
Indhira V. R. ◽  
Mythili Menon Pathiyil ◽  
...  
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Equal Treatment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Verbal Form ◽  
Care Facilities ◽  
The Government

Background: Transgender people are those who by definition, have a gender identity or gender expression that differs from their assigned sex at birth. The Government of Tamil Nadu was the first Indian state to pioneer welfare schemes for transgenders such as formation of transgender welfare board, creation of a third column for gender in college application forms. The study aims to assess the discrimination faced by the transgenders in health care facilities. Methods: A cross sectional study was carried out among 50 transgenders using a self-administered questionnaire. Results: Among 47 responendents, 17.6% of the transgenders had delayed going to hospital fearing discrimination. Harassment either in physical or verbal form experienced by 41.2% and 37.5% faced discrimination in form of judgemental looks or comments, while 5.9% of the transgenders were denied treatment altogether in the hospital. Denial of equal treatment experienced by 52.9% of the study participants.  Conclusions: The study highlights that transgenders even today face considerable discrimination which refrains them from assessing health care facilities. Even though we in Tamil Nadu have pioneered with the formation of transgender board, free sex re-assignment surgery in government health care facilities, the utilisation by the transgenders are far from behind. This may be attributed due to the discrimination faced by the transgenders.  

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2020 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction

Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. In the scientific world, a number of efforts have been tried to understand about what laboring mothers perceive about the care provided. However, little is known about the birth experiences of partners in Ethiopia. Therefore, this study was aimed to assess the maternal and partner’s level of satisfaction on the delivery room service in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.001,0.09)], waiting time [OR = 0.11 , 95%CI (0.001, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.001,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.001, 95%CI (0.001,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.001, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This finding would alert the health care system to design a client-friendly approach. It will provide insight to hospital administrators and providers in formulating a policy that would enhance the support of partners during labour and delivery process.

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