scholarly journals Knowledge evaluation of clinical case management in IMNCI among trained and untrained accredited social health activists in two districts of Uttar Pradesh, India

2021 ◽  
Vol 7 (4) ◽  
pp. 185-191
Author(s):  
Syed Belal Hassan

IMNCI was launched in Uttar Pradesh, India in 2005 for integrated management of under 5 children. Success of IMNCI depends to a large scale on the performance of ASHAs. The performance of ASHAs will in turn depend on their knowledge and skills. There is a paucity of research describing and comparing the knowledge of ASHAs who are trained in IMNCI to those who are not trained. The present study was done to compare and describe the knowledge of non-trainees and the follow up knowledge of the trainees regarding clinical case management of IMNCI in two districts of Uttar Pradesh of India. This study indirectly assessed the effects of IMNCI training in the improvement of knowledge of health care personnel. It was a Cross-sectional comparative study conducted in two districts Kanpur & Kannauj of Uttar Pradesh and specifically Shivrajpur and Jalalabad blocks of Kanpur and Kannauj respectively over a duration of one year from March 2019 to February 2020. hivrajpur block of Kanpur had 122 ASHAs and none of them had received 10 days IMNCI/CCSP training. Jalalabad block of Kannauj had 153 ASHAs and all of them had received 10 days IMNCI/CCSP training(as per NRHM UP data). 108 ASHAs from Kanpur and 94 ASHAs from Kannauj participated in the study. CHI-Square test was done to test whether the finding that knowledge difference between the ASHAs of Kanpur Nagar and Kannauj was real or merely a chance finding. The results were pooled form the two districts against each of the 26 variables. The proportion of trained in IMNCI module and untrained was calculated. Results show that clinical case management of IMNCI training status had an association with knowledge score. This study testified much higher knowledge score among trained personnel than their counterparts.

Author(s):  
Maya Ramesh ◽  
Ramesh Krishnan ◽  
Sabarinathan Jaganathan

Introduction: Medical as well as dental professionals are always at an increased risk of contracting infections in pandemics. The novel Coronavirus (nCoV), the causative agent of the COVID-19 pandemic is more contagious than other known members of Coronaviridae family. Aim: This research aims to evaluate the knowledge, psychological, social, and economic aspects of COVID-19 pandemic among dental professionals using a closed-ended questionnaire study. Materials and Methods: A cross-sectional study with close ended questionnaire was planned. The questionnaire form was prepared in the Google platform after receiving ethical clearance, with 39 questions under the headings of General Information, Knowledge, Psychological aspects, and Social and Economic aspects. The questionnaire link was circulated among dental professionals known to the research team through Email, WhatsApp, and Messenger. A total of 504 dental professionals participated in this study in five days. Knowledge score was calculated, and psychological stress was calculated using Likert scale. Economic aspect was measured using yes/no answers. Data were entered in an excel sheet and the data obtained were statistically analysed using the SPSS software, version 11.5. Chi-square test was done to evaluate whether there is an association between knowledge score and demographic factors and p-value was obtained. Results: There was almost equal gender distribution of respondents in the study. p-value obtained from chi-square test results correlating knowledge score with various demographic factors was not significant. A 59.9% of study participants were poorly informed on methods used to diagnose COVID-19 infection. A 44.4% of the respondents were psychologically stressed about infecting their family members and 72.22% were economically affected because of their profession. A 98.61% of the participants reported that they will wash their hands frequently, avoid crowded places and cancel travel plans in the near future. Conclusion: The present study evaluated the knowledge, psychological, social and economic aspects of COVID-19 pandemic among dental professionals. We identified that there is an urgent need to intensify the knowledge on COVID-19 and also to give psychological, social and economic support to dental professionals


2014 ◽  
Vol 2 (3) ◽  
pp. 34-37 ◽  
Author(s):  
C Adhikari ◽  
L Sherchan ◽  
SB Thapa ◽  
LM Adhikari

INTRODUCTION: Auxiliary Health Workers (AHWs) are the undergraduate 2nd  class health workforce of Nepal. Syndromic Sexually Transmitted Infection Case Management/Reproductive Health (SSCM/RH) training for AHWs is designed to develop knowledge, attitude and skills. The purpose of this study was to examine the effectiveness of the training in knowledge and practice of AHWs. MATERIAL AND METHODS: Achham district from where all AHWs were purposively selected for cross-sectional study. Total number of trained AHWs was 35 and untrained was 19, who were interviewed to fulfill the structured pretested questionnaire that included knowledge inventory and self reported practice.The data collected from29th May to 25th July, 2005. Written consent was taken from respondents after permission taken from Achham DHO. Statistical tests used were mean, median, SD, Mann-Whitney U test, Spearman's rho and chi-square. Values with p < 0.05 was considered significant. RESULTS : All AHWs were male, with mean age of 32.1 years. Regarding knowledge, the scores in all syndromes diagnosis and treatment regimen were significantly different in two groups except in two syndromes. Two practices were found significant. The median knowledge score was 20 (IQR, 16-22) and 16 (IQR, 12-20) in trained and untrained respectively. Similarly, median practice score was found 14 (IQR, 10-16) and 7 (IQR, 6-9) in trained and untrained respectively. In aggregate, both the practice score (U=38.5, p<0.001, two-tailed) and the knowledge score (U=205, p=0.020, two-tailed) of trained group significantly differed from that of untrained. Knowledge and practice score was also found positively and moderately correlated (P=0.616, p<0.001, two-tailed).CONCLUSION: The training was effectivein bringing about changes both in knowledge and practice of AHWs. The higher the knowledge level, the higher the practice level.DOI: http://dx.doi.org/10.3126/jucms.v2i3.11826 Journal of Universal College of Medical Sciences Vol.2(3) 2014: 34-37


2020 ◽  
Author(s):  
Xuming Wang ◽  
Huawei Gui ◽  
Chunyan Yuan ◽  
Lijiang Liu ◽  
Jianguo Wei ◽  
...  

Abstract BackgroundThis paper aimed to explore the average natural menopause age, the span of menopausal age, and the related factors that will probably affect the natural menopause age of Chinese women. MethodsA large-scale random sampling of menopausal women aged 32-75 years in 18 provinces or municipalities throughout China was conducted using paper questionnaire surveys to investigate the menopause age, menarche age, fertility status, illness history, and living habits. The SPSS 24.0 software package was used to carry out t test, chi-square test, logistic regression, and other statistical analyses. ResultsA total of 5852 questionnaires were collected. After excluding questionnaires having no menopause, questionnaires with incomplete or invalid information, and questionnaires that may directly affect the age of menopause, such as hysterectomy, oophorectomy, and other factors that may affect natural menopause, a total of 4426 effective questionnaires have been collected, and the average age of natural menopause was 49.49 ± 3.67 years old. ConclusionFactors that may affect the age of natural menopause are weight, menarche age, marital status, drinking tea or not (often and daily), eating supplements, oral contraceptive contraception, and safe contraception.


2017 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Wahyu Iraningsih ◽  
Muhammad Azinar

Neonatal mortality in Indonesia declined slowly and tended to stagnant in number of 20/1000 live births. Proportion of neonatal mortality in Cilacap Regency at 2015 reached 69% of infant mortality. A quality neonatal care might decrease 34-62% mortality, but not all midwives used integrated management of neonatal and childhood illness (IMNCI) algorithm. This study aimed to figure out factors associated with midwives’ practice on using IMNCI algorithm in neonatal care. This study used cross sectional approach with purposive sampling until 60 respondents were collected. Data were analyzed with chi-square test. There were association between knowledge (p=0.000), attitude (p=0.023), availability of facilities (p=0.023), support from leader (p=0.017), length of work (p=0.011), and supervision (p=0.039) with midwives’ practice on using IMNCI algorithm. There were not assocation on age (p=0.124), employment status (p=0.124), extra work load (p=0.290), and reward (p=0.053). Factors associated with midwives’ practice on using IMNCI algorithm in neonatal care were knowledge, attitude, availability of facilities, support from leader, length of work, and supervision.


Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 926
Author(s):  
Amal Abdulsalam Ibrahim ◽  
Muammer Koç ◽  
Atiyeh M. Abdallah

In Qatar, one out of every ten patients admitted to the hospitals is in urgent need of a blood transfusion or blood products. The aims of this study are as follows: (1) to assess the level of awareness and knowledge about blood donation and (2) to identify the factors that contribute to the willingness to donate blood among young adults. A cross-sectional survey using a constructed questionnaire was conducted among students at Qatar University. A total of 590 responses were collected, out of which 423 were suitable for analysis. Only 72 out of 472 (15%) participants were blood donors. The chi-square test and t-test were then used to study the association of blood donation status with different factors. Significant values were considered to be p ≤ 0.5. Gender and age were found to be significantly associated with blood donation status, with a higher frequency of donation among males and adults above the age of 24 years old. On the other hand, the total knowledge score was found to not be significantly associated with blood donation status with a mean score of 60.5% for both groups (blood donors, non-blood donors). The most common motivators that encouraged blood donors were donating to help people, followed by having a blood mobile unit come to your place, whereas the most common barriers reported by non-blood donors were failing to meet the requirements, followed by “never having been asked to give blood”. This is the first study in Qatar to assess blood donation status. It provides insights that would help in developing effective strategies for the recruitment and retention of young adult blood donors in Qatar and countries with similar cultures. Raising awareness about blood donation, along with providing more mobile blood donation units at public places, will aid in increasing the frequency of blood donation among young adults.


2017 ◽  
Vol 3 (2) ◽  
pp. 87
Author(s):  
Citra Trisna ◽  
Asfian Asfian

Abstract: Individual Factors Related To Implementation Of Integrated Management Of Childhood Illness (IMCI) In Sambas. Integrated Management of Childhood Illness (IMCI) is one of the government programs aimed at improving officer skills, strengthening health systems and improving care capabilities by families and communities. A public health centre is said to have implemented IMCI if it meets the criteria of carrying out IMCI at least 60% of the number of visits. Achievement of Implementation of IMCI at the public health centre in Sambas district in 2014 is still below 60%. Conducted research to determine the correlation between knowledge factor, performance and motivation toward the implementation of IMCI in public health centre Sambas District. This research was analytical descriptive with the cross-sectional design. The subjects of the study were the staff of the public health centre in Sambas district were 40 respondents. Data collection was done by using primary data through a checklist. Data were analyzed using univariate analysis with frequency distribution table and bivariate analysis using chi-square test. The result of bivariate analysis with chi-square test and significance of alpha 0,05 found no correlation between age (p-value = 0,905), knowledge (p-value = 0,064) and performance (p-value = 0,057) with IMCI implementation. Motivation factor (p-value = 0,013) had significant relation with IMCI implementation.Absrak: Faktor-Faktor Individu Yang Berhubungan Dengan Pelaksanaan Manajemen Terpadu Balita Sakit Di Sambas.Manajemen Terpadu Balita Sakit (MTBS) merupakan salah satu program pemerintah yang bertujuan untuk meningkatkan keterampilan petugas, memperkuat sistem kesehatan serta meningkatkan kemampuan perawatan oleh keluarga dan masyarakat. Puskesmas dikatakan sudah menerapkan MTBS apabila memenuhi kriteria melaksanakan MTBS minimal 60% dari jumlah kunjungan. Pencapaian Pelaksanaan MTBS pada puskesmas di wilayah Kecamatan Sambas tahun 2014 masih di bawah 60 %. Dilakukan penelitian untuk mengetahui hubungan faktor-faktor individu berupa pengetahuan, kinerja dan motivasi terhadap pelaksanaan MTBS di Puskesmas Wilayah Kecamatan Sambas. Penelitian ini bersifat deskriptif analitik dengan desain cross-sectional. Subjek penelitian adalah petugas Puskesmas wilayah kerja Puskesmas Sambas berjumlah 40 responden. Pengumpulan data dilakukan menggunakan data primer melalui cheklist. Data dianalisis menggunakan analisis univariat dengan tabel distribusi frekuensi dan analisis bivariat menggunakan uji chi-square. Hasil analisis bivariat dengan uji chi-square dan kemaknaan alpha 0,05 didapatkan tidak ada hubungan antara umur (p value = 0,905), pengetahuan (p value=0,064) dan kinerja (p value=0,057) dengan pelaksanaan MTBS. Faktor motivasi (p value= 0,013) mempunyai hubungan signifikan dengan pelaksanaan MTBS.


1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution


2020 ◽  
Vol 5 (3) ◽  
pp. 875
Author(s):  
Asfri Sri Rahmadeni

<p class="Normal1"><em>Commitment is the attitude or behavior of likes or dislikes shown by someone against the organization at work. Indonesia is recorded as a nurse who has a low organizational commitment (76%) so it harms services. This phenomenon in the hospital can be seen from the indicator of the high turnover rate of nurses which reaches 30.9% which exceeds the standard &lt;5%. Many factors affect organizational commitment. The purpose of this study was to analyze the Personal Factors Associated with Organizational Commitment of Hospital Nurses. This study is a cross-sectional analytic study and purposive sampling technique with a sample of 59 nurses. Chi-Square test results obtained personal factors that have a relationship with organizational commitment Nurse Hospital is age with p = 0,000 and education with p = 0,000, personal factors not related to organizational commitment are gender p = 1,053 and years of service with p = 1,147. Hospitals should conduct research/surveys on Organizational Commitment periodically as an evaluation material in the context of the organization's development and development in the future</em>.</p>


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdurrakhman abdurrakhman Abdurrakhman

ABSTRACT : The House index and Container Index in the buffer area of ​​the working area of ​​Balikpapan Sepinggan Airport is still above 1%, so the potential for the spread of dengue disease. Mobilization of people, goods and transportation equipment will increasingly affect the transmission of disease in ports and airports, especially for vector-borne diseases. This study aims to analyze the risk factors associated with larvae density of Aedes aegypti and describe the larvae index in the buffer zone of the Sepinggan Balikpapan Airport This study was a descriptive study with a cross sectional design. The sample in this study was 121 houses with a proportionate stratified random sampling, the research location was in the buffer zone of Sepinggan Balikpapan Airport in November 2018. The variables studied were houses with positive larvae containers, breeding sites and PSN behavior and larvasidation. The data was analyzed using the chi square test. There was a relationship between houses with larvae positive Aedes aegypti, behavior of Mosquito Nest Eradication (PSN) and larvasidation with larvae density of Aedes aegypti but not for breeding sites (p = 0.00 and 95% CI = 0.64), and   (p = 0.00 and 95% CI = 0.34). The description of several Aedes aegypti larvae index, namely House Index (HI) = 57.02%, Container Index (CI) = 24.36%, Bruteau Index (BI) = 148.76, and Flick Free Numbers (ABJ) = 42.98 %. Houses with larvae of Aedes aegypti larvae and PSN and larvasidation behavior were associated with larvae density of Aedes aegypti. The index of HI, CI and BI larvae is of high value so there is a risk of DBD transmission


2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.


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