scholarly journals A cross sectional study on utilization of postnatal services in rural health training centre, Chandragiri, Andhra Pradesh

2020 ◽  
Vol 7 (1) ◽  
pp. 24-28
Author(s):  
Kiranmayi Karanati ◽  
◽  
Ashok Kumar Ready ◽  
Pravallika S ◽  
◽  
...  
Author(s):  
Priyanka Chakkarwar ◽  
Amol Kinge

Background: Almost 2.5 billion people don’t have the access to clean toilet globally. In 2011 sanitation coverage globally was 64%. While open defecation is declining across the globe, 15% (one billion) of the global population still defecate outdoors. OFD practices are associated with transmission of variety of infectious diseases. This study was conducted to understand the nature of defecation practices with respect to hygiene in a tribal community.Methods: It was a cross sectional study conducted among patients attending out-patient department of a rural health training center from a nearby tribal area, Thane district, Maharashtra which is a field practice area of rural health training centre of Seth GSMC and KEM Hospital, Mumbai.Results: Majority of the subjects practiced open field defecation (67%), followed by 18% subjects used household latrines and 15% used community based latrines. Majority of the study participants practiced open field defecation in agriculture fields (81%), while 44% preferred nearby water source as a site for defecation.Conclusions: The sanitary condition in the study area was poor. Rural areas with better literacy seems to have lower open field defecation prevalence and higher percentages of sanitary latrine usage. 


Author(s):  
Preethi Selvaraj ◽  
Ramkumar Boopathirajan

Background: India is the diabetic capital of the world with nearly 31.7 million people suffering from the disease in 2000 which is projected to become 79.4 million in the year 2030. The incidence of diabetes in India is around 8.8%. This study aims at developing a mini questionnaire to quickly assess the self-care practices among the diabetic patients attending rural health training centre and also to educate the diabetic patients about self-care practices and dietary pattern they need to follow.Methods: The study design is a community based cross-sectional study. All diabetic patients who visited rural health training centre attached to a private medical college aged 40 years and above in the period of June to July 2019 were included in our study. Institutional ethical clearance was taken before commencing the study. Construction of mini self-care practices questionnaire (MSCPQ) comprised of two phases. Trained medical students collected the data by interview method using semi-structured, pre-tested questionnaire.Results: The reliability of the MSCPQ using Cronbach’s alpha came to be 0.82 and the intra class correlation coefficient was 0.81; 95% CI (0.763-0.853) (p=<0.001). Around sixty six percent are having their health check-up regularly. Most (43%) of the study participants check their blood sugars monthly.Conclusions: Even though there are various factors contributing in facilitating self-care activities in patients living with diabetes, the role of health care physicians in educating about self-care practices are indispensable.


2021 ◽  
pp. 1-3
Author(s):  
Anum Fatima ◽  
Pratap Bhan Kaushik

INTRODUCTION: INDIA HAS LARGEST ADOLESCENT POPULATION IN WORLD. ADOLESCENT IS CHARACTERIZED BY SIGNIFICANT PHYSIOLOGICAL AND PSYCHOLOGICAL CHANGES.OBJECTIVE: TO ASSESS KNOWLEDGE AND AWARENESS OF LATE-ADOLESCENT GIRLS REGARDING MENSTRUAL HYGIENE AND REPRODUCTIVE HEALTH INCLUDING CONTRACEPTION.METHODS: A CROSS SECTIONAL STUDY WAS CONDUCTED IN THE MONTH OF OCTOBER 2020 AMONG LATE-ADOLESCENT GIRLS WHO CAME TO OUTDOOR OF AN URBAN HEALTH TRAINING CENTRE, UDAIPUR.160 SUCH GIRLS WHO CAME WITH GUARDIAN AND GAVE CONSENT WERE INCLUDED.A PRETESTED, SEMI-STRUCTURED QUESTIONNAIRE WAS USED.DATA WAS ENTERED IN MS EXCEL2016 AND ANALYSED USING SPSS.RESULTS: AMONG 160 PARTICIPANTS, 43% BELONGED TO AGE GROUP 15-17 YEARS AND 57% TO 18-19 YEARS.5% WERE MARRIED, ALL WERE LITERATE.THE MAIN SOURCE OF INFORMATION FOR KNOWLEGDE ABOUT PUBERTY WERE TEACHERS(46.9%), ALTHOUGH THEY WISHED TO HAD KNOWLEDGE FROM DOCTORS(36.9%).THEY HAD GOOD KNOWLEDGE AND PRACTICES FOR MENSTRUAL HYGIENE.MOST OF THEM WERE FAMILIAR WITH HIV(79.4%) BUT LACKED INDEPTH KNOWLEDGE.MAJORITY DID NOT KNOW ABOUT ANY OTHER SEXUALLY TRANSMITTED DISEASES (67.5%).AMONG CONTRACEPTIVE METHODS, MAJORITY HAD KNOWLEDGE ABOUT CONDOMS (73%), AND LEAST ABOUT EMERGENCY CONTRACEPTIVE(26%).CONCLUSION: PARTICIPANTS HAD GOOD MENSTRUAL HABITS BUT LACK REPRODUCTIVE HEALTH KNOWLEDGE.ATTEMPTS TO INCREASE BASIC KNOWLEDGE ABOUT MENSTRUATION AND REPRODUCTIVE HEALTH THROUGH SCHOOL CURRICULUM OR COMPULSORY WORKSHOPS, COUNSELLING ,COMMUNITY AND PARENTERAL COMMUNICATION IS REQUIRED.


Author(s):  
Beeva Boruah ◽  
Sudipta Hajong ◽  
Annamika Hakmaosa

Background: WHO (World Health Organization) defines adolescence as the segment of life between the ages of 10 and 19 years. The health problems of adolescents are very different from those of younger children and adults. Adolescent’s problems constitute a bulk of morbidities, which are unrecognized and uncared iceberg of disease burden. Moreover, the complex psychosocial morbidities and high risk behaviour of adolescents have been recognized as a threat to survival, growth and development. The objective of this study was to study the morbidity pattern prevalent among adolescents who attended the rural health training centre in Nagaon, Barpeta district, Assam.Methods: A cross sectional study was carried among 140 adolescents aged between 10 to 19 years, who visited the rural health training centre during the study period using convenient sampling technique. Data collection was done by using a semi structured questionnaire. A detailed history was taken regarding present and past illness. General and systemic examination was done. Anthropometric measurements were taken. Data analysis was done using SPSS version 17 and the results expressed in percentages.Results: The most common morbidity was anaemia, seen in 69.29% adolescents (males-66.04% and females-71.26%), followed by upper respiratory tract infection 37.14% (males-44.51% and females-34.48%) and dental problems 28.57% (males-28.30% and females-28.74%).Conclusions: Anaemia is the most common morbidity seen among adolescents in the present study. Early detection of the morbidities through regular survey will help in the prompt treatment and prevention of serious complications.


Author(s):  
Surinderpal Singh ◽  
Anurag Chaudhary ◽  
Mahesh Satija ◽  
Pranjl Sharma

Introduction: Knowledge is the beginning of prevention, and transformation of knowledge into preventive practices. Knowledge, attitude and practice surveys among populations provide useful information about community behaviour in prevention and control of infectious diseases like Coronavirus Disease 2019 (COVID-19). Aim: To assess the knowledge, perceptions and practices of patients about COVID-19 visiting Outpatient Department (OPD) of a health training centre during lockdown period. Materials and Methods: A health centre based cross-sectional study was conducted from 1st to 15th May 2020 for 15 days in Rural Health Training Centre (RHTC) of Department of Community Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India. All patients (18 years and above) who visited the healthcare facility for the first time (visit) during the study period were included in the study. A total of 485 participants recruited through consecutive sampling were interviewed using adapted World Health Organisation (WHO) and previously published questionnaire on knowledge (15 questions), perceptions (2 questions) and practices (3 questions). Knowledge score ranged from 0 to maximum 15. Analysis was performed using SPSS 20.0 statistical software. Descriptive statistics, t-test, one-way analysis of variance (ANOVA) and Chi-square test were used to determine the difference between the groups for different variables at 0.05 level of significance. Results: Mean knowledge score of the participants was 10.6±2.1. Out of 485 participants (mean age 48.8±16.2 years), majority 425 (87.6%) knew about main clinical symptoms and 448 (92.4%) knew isolation and treatment of COVID-19 infected persons as an effective way of prevention and control of COVID-19. However, 284 (58.6%) and 276 (56.9%) participants knew about transmission through respiratory droplets and by touching contaminated surfaces, respectively. Educational status showed an independent association with higher knowledge. Total 190 (39.2%) of the participants agreed on stigma against specific individuals. Regularly washing of hands (77.7%), three layered masks (29.9%) and physical distancing (33.2%) were commonly followed practices. Higher knowledge score was significantly associated with regular handwashing practices (p<0.001) and wearing of three layered masks (p<0.001). Conclusion: Results highlighted good knowledge about COVID-19 of study participants. However, continued efforts over time are required to increase the COVID appropriate behavior regarding usage of face mask and physical distancing.


2021 ◽  
Vol 8 (19) ◽  
pp. 1391-1396
Author(s):  
Kushal Singh ◽  
Anshita Singh ◽  
Piyush Piyush

BACKGROUND Echocardiography is considered as a traditional approach to clinically study dilated cardiomyopathy. Because of poor apical visibility, however, volumetric calculations are difficult to ascertain. In calculating left ventricle volumes and ejection fractions, magnetic resonance (MR) imaging has shown to be more accurate than echocardiography. Due to conflicting literature, the present study was conducted to diagnose dilated cardiomyopathy using 2 D - echocardiography and correlate these echocardiographic findings with magnetic resonance imaging (MRI). METHODS This observational cross-sectional study was conducted in the Department of Radio-diagnosis and Imaging, Sri Sathya Sai Institute of Higher Medical sciences, Puttaparthi, Andhra Pradesh, Pin 515134. The study group consisted of consecutive patients who had clinical suspicion of dilated cardiomyopathy. A total of 40 patients underwent both 2 D - echo and cardiac MRI on the same day. All patients underwent 2 - D echo which was performed at the frame rate of 40 - 80 frames per second in the left lateral decubitus position to obtain standard 2, 3, and 4 chambers as well as short axis views (GE Vingmed Vivid 7 Dimensions, Horton, Norway: 2.5 MHz transducer). MRI was performed on a 1.5 T scanner (Mangnetom Aera, Siemens, Erlangen, Germany). For patient monitoring and cardiac synchronization, 3 - lead electrocardiography was used. RESULTS In the present study, in comparison to reference standard (cardiac MRI), 2 D - echocardiography showed significant and systematic underestimation of enddiastolic volume (EDV), end-systolic volume (ESV) and stroke volume (SV). Good correlation between 2 D - echo and cardiac MRI was noted for end-diastolic volume (r = 0.89), stroke volume (r = 0.60) and ejection fraction (r = 0.75). CONCLUSIONS In summary, magnetic resonance imaging is an accurate, non-invasive, safe and advanced modality for evaluation of global left ventricular function and myocardial scarring. 2 D - echocardiography can be used for screening of the patients with clinically suspected dilated cardiac myopathy (DCM) and their follow up. KEYWORDS Echocardiography, MRI, Cardiomyopathy


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