scholarly journals Factors influencing sustainability of open defecation free (ODF) status in rural India: A cross sectional study

2021 ◽  
Vol 4 (3) ◽  
pp. 116-125
Author(s):  
P S Janaki Krishna ◽  
R K Mishra ◽  
Maschendar Goud

Tackling a simple and sensitive concern of ‘Open Defecation (OD)’ is such a compounded and righteous challenge that enormous efforts and resources are needed to bring in the desired changes in the villages. Towards this, attaining open defecation free (ODF) status by providing toilet facilities to every household is the foremost step in rural sanitation programme under Swachh Bharat Mission – Gramin (SBM –G) being implemented by the Government of India. The present paper aims to examine the factors that have influence in attaining ODF status in rural areas. In this study, various parameters that contribute to attaining ODF status in the villages were identified and an extensive primary survey was conducted in 32,390 households across 686 rural villages in Krishna District of Andhra Pradesh, India. The empirical analysis of the data using a multinomial logistic regression model revealed that the factors such as water availability, safe excreta disposal, technology used for toilet construction and awareness on Swachh Bharat have an influence in achieving the open defecation free status in the villages to a greater extent.

1970 ◽  
Vol 9 (1) ◽  
pp. 15-19 ◽  
Author(s):  
A Karn ◽  
S Jha ◽  
BK Yadav ◽  
D Thakur

Introduction: Homicide means killing of one human being as a result of conduct of another human being. This study of medico-legal and epidemiological details of homicidal cases would help in enhancement of various stakeholders in law enforcing agencies with the view to benefit the process of scientific crime detection and proper administration of justice at large. Objective: To identify the various medico-legal and epidemiological factors involved in homicide. Materials and method: A prospective cross-sectional study was conducted in fatal homicide victims brought for medico-legal autopsy in BPKIHS, during the period of 15th April 2009 to 14th July 2010.Data were collected using pre tested questionnaire by direct interview to the visitors of victim, information from the police record along with postmortem examination of the victim. Results: Out of the total 50 cases, the ratio of male to female victim was 4:1. More than half of the victims were of age 21-40 years (52%). More of the homicide victims were of rural areas (56%) and illiterate (32%). Injuries by sharp weapon were most common cause of death (36%) very closely followed by firearm injuries (34%). Most of the victim remained totally deprived of any medical help (60%). Conclusion: The homicide victims in eastern Nepal constituted illiterate adult male from rural area a dominant group. Sharp weapons were commonly employed in this region for homicide. Fatality of the victim can be highly minimized if medical and surgical interventions are be promptly prearranged. Proper counselling for developing positive attitude and controlling the aggression in youth have to be Promoted at large by the government. Keywords: Homicide; Medico-legal; sharp weapon injury; firearm injury DOI: 10.3126/hren.v9i1.4356Health Renaissance, 2011: Vol.9 No.1:15-19


Author(s):  
Mologadi D. Ntsoane ◽  
Olalekan A. Oduntan ◽  
Benjamin L. Mpolokeng

Background: Visual impairment and blindness are major health problems worldwide, especially in the rural and remote areas of developing countries. Utilisation of eye care services is essential to reduce the burden of visual impairment and blindness, and it is therefore important that it is monitored.Objectives: The objectives of this study were to determine the level of utilisation of public eye care services and factors that might have influenced their usage in rural communities, Capricorn district, Limpopo Province, South Africa.Method: A population-based cross-sectional study design was used. Participants were residents in selected rural villages located within approximately 5 km of six Government hospitals. Following ethical approval and receipt of informed consent, a questionnaire with closed and open-ended questions was used to collect information on the utilisation of eye care services and factors that might influence utilisation. Descriptive statistics and Pearson’s Chisquare test were used to analyse and compare the data.Results: Many (62.7%) of the respondents had used the government eye care services in the past. Over fifty-nine per cent (59.3%) of them were satisfied with the services. Factors reported to influence utilisation (such as monthly income, knowledge of available services and the need for regular eye tests) were positively associated with utilisation of eye care services in this study (p < 0.05).Conclusion: Utilisation of eye care services was relatively good, but varied significantly between sites. An awareness campaign by government and non-governmental organisations about eye care services may increase utilisation amongst rural communities.


2018 ◽  
Vol 10 (1) ◽  
pp. 104
Author(s):  
Globila Nurika

Based on data from the Directorate General of Environmental Health in 2006-2014 known that Situbondo triggering activities in 120 villages out of 136 villages, but the number of villages are verified as Open Defecation Free village only one village. The lowest numbers of healthy latrine ownership in 2012 was Situbondo District by 45.96%. Triggers activity of Community Lead Total Sanitation, stop Open Defecation, conducted in the Situbondo District, including in Dawuhan. Dawuhan Village is the lowest number of healthy latrines and the highest number of Open Defecation behavior in the district of Situbondo District. The aim of the study was to evaluate the implementation of stop Open Defecation program in Dawuhan. This was a cross sectional study with quantitative descriptive approach. Subjects were selected by multistage random sampling. Data collection was used questionnaire and observation. The results of this study indicate that government has fulfilled most of the resources needed to carry out the stop Open Defecation program. Otherwise, component not fulfilled yet was efforts to create a conducive environment, an increase sanitary requirement, and increase the provision of sanitation access, the lack of appropriate technology support by the government, lack of community knowledge, and no facilitator assistance. It is concluded that stop Open Defecation program in Dawuhan Village has not reached the maximum level of ODF Village because of community knowladge, technology, and less assistance activities. It is suggested to increase of socialization program, to support the appropriate technology development, and to implement facilitator assistance activity post-triggering activity.


2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; CI=0.224-0.711) and western (OR=0.33; CI=0.185-0.594) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; CI=0.220-0.928) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; CI=1.391-3.002). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06;CI=1.032-4.107) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.


2021 ◽  
Author(s):  
Fatima Abbas Khalid Khalid ◽  
Muataz Mohamed Eldirdery Eldirdery ◽  
Mamoun El-obeid ElGasim ElGasim ◽  
Malak Abd Elmajid Elhaj Elhaj ◽  
Mohamed Abd Alrazik Desogi Desogi ◽  
...  

Abstract Background : Childhood malnutrition is a major concern in developing countries due to high morbidity and mortality rate. To estimate the prevalence of malnutrition among school children, Kassala State, A cross-sectional study was conducted randomly among 2638 children. Height for age and body mass index for age z scores were calculated using WHO Anthro Plus software as indicators of stunting and thinness respectively. A multinomial logistic regression model was used to determine the associated factors. Results: The overall prevalence of stunted and thinness was 22.1% and 32.3% respectively. Stunting was significantly higher among children in age group 13-15 years old (OR 3.788; 95% CI: 2.802- 5.123), boys (OR 1.394; 95% CI: 1.114-1.743) and children from rural areas (OR 2.406; 95% CI: 1.768- 3.274). Likewise thinness was significantly higher among boys (OR 1.717; 95% CI: 1.436- 2.052), Rural residence (OR 1.885; 95% CI: 1.487- 2.389), child whose families depend on unsafe source of drinking water (OR 2.205; 95% CI: 1.484- 3.276). Moreover, children who skipped meal during the school day or bring their food from their houses OR 2.744; 95% CI: 2.131- 3.532, 1.752(95% CI: 1.441- 2.129) respectively). Maternal education and occupation, in addition to family size and child ordered had no effect on the prevalence of malnutrition. Conclusions: In the present study, different forms of malnutrition was documented and affected by child age, gender, residence, source of drinking water. Therefore, more attention is needed to focus on nutrition status, improving the school environment, maternal education, and regular health assessment.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257813
Author(s):  
Abathun Temesgen ◽  
Mesafint Molla Adane ◽  
Amsalu Birara ◽  
Tebkew Shibabaw

Background Open defecation practice problem is rampant in most rural areas of developing countries, including Ethiopia. To combat this problem, the Ethiopian government implemented different sanitation interventions including Community-Led Total Sanitation and Hygiene (CLTSH). The CLTSH approach is mainly aimed to eradicate open defecation practice through mobilizing the community to construct a latrine facility and utilize it. Although this intervention has significantly improved households’ access to a latrine facility, its impact on bringing behavioral change such as avoiding open defecation is not well studied. Objective Our study aimed to assess the prevalence of open defecation among households having their latrine and its determinant factors in rural settings in Northwest Ethiopia. Methods A community-based cross-sectional study was conducted in Machakal district from September 1 to 30, 2019. A total of 472 household heads who had a latrine facility and systematically selected from six rural Kebeles of the district, were involved in the study. The data were collected using a structured questionnaire and observational checklist tools through face-to-face interviews and observation methods. Bivariate and multivariable logistic regression models were run to identify the factors that influence open defecation practice. During the multivariable analysis, statistical significance was declared at the p-value of <0.05 with 95% CI. Results The prevalence of open defecation practice among household heads who had latrine facility was 27.8% (95% CI, [23.1–32.8]). Female gender (AOR = 2.94, 95% CI [1.13–7.68]), not attending of formal education (AOR = 3.10, CI 95% [1.34–7.13]), having >5 family members (AOR = 1.72, CI 95% [1.05–2.80]), presence of under-five child (AOR = 3.64 CI 95% [2.14–6.21]), preferring leaf as anal cleaning material (AOR = 3.18, CI 95% [1.67–6.08]), having unclean latrine (AOR = 2.15, CI 95% [1.34–3.44]), and having latrine that needs maintenance (AOR = 2.50 CI 95% [1.52–4.11]) variables were associated with open defecation practice. Conclusions Among the total respondents, finding more than a quarter of open defecators is concerning for a district that achieved greatly in terms of latrine coverage. This indicates the above-mentioned factors contributed to influence household heads to defecate openly despite having latrines. Therefore, the government and partners need to focus on designing strategies that effectively address determinant factors of open defecation.


2021 ◽  
Vol 05 (04) ◽  
pp. 99-109
Author(s):  
Thi Thu Ha Nguyen ◽  
◽  
Bich Huong Bui ◽  
Bich Diep Pham

Objectives: To describe people's access to information and the practice of COVID-19 pandemic prevention during the first lockdown in the period from 7thto 30th April. Methods: A descriptive cross-sectional study was conducted among 319 subjects through a convenient sampling procedure. Online self-administered questionnaires through social networks including Facebook, Zalo, etc were used. Descriptive statistics were used to present the data using mean, frequency and percentage. Results: The most popular information channels which people in urban and rural areas regularly accessed for COVID-19 related information were television and radio (55.6% and 72.7% respectively). The sources of information that the highest percentage of people accessed was the Government's /Ministry of Health’s SMS, followed by social media. People were most interested in searching for information about "Evolution of the epidemic COVID-19" and the least interested in the information about "Prevention according to folk beliefs and methods”. Proactive prevention practices were well implemented during the first lockdown such as "Wear a mask properly" with 99.1%, followed by "Minimize going to the street except in necessary cases" (98.8%) and "Stop non-urgent activities, work from home when needed" with 98.8%. The proportion of people who practiced "Clean the surface of objects with an antiseptic solution" was the lowest at 87.5%. Conclusion: Mass media and the Government information source are regular users to access information by respondents. Therefore, the information channel and source should be taken into account for health education in general and Covid -19 prevention in particular. Keywords: COVID-19, information, prevention.


2018 ◽  
Vol 1 ◽  
pp. 22 ◽  
Author(s):  
Fred Maniragaba ◽  
Betty Kwagala ◽  
Emmanuel Bizimungu ◽  
Stephen Ojiambo Wandera ◽  
James Ntozi

Background: Little is known about the quality of life of older persons (OPs) in Uganda in particular, and Africa in general. This study examined factors associated with quality of life of older persons in rural Uganda. Method: We performed a cross-sectional survey of 912 older persons from the four regions of Uganda. Data were analyzed at univariate, bivariate and multivariate level where ordinal logistic regression was applied. Results: Older persons in northern (OR=0.39; p=0.002) and western (OR=0.33; p<0.001) regions had poor quality of life relative to those in central region. Those who were HIV positive had poor quality of life (OR=0.45; p=0.031) compared to those who were HIV negative. In contrast, living in permanent houses predicted good quality of life (OR=2.04; p=<0.001). Older persons whose household assets were controlled by their spouses were associated with good quality of life (OR=2.06; p=0.040) relative to those whose assets were controlled by their children. Conclusion: Interventions mitigating the HIV and AIDS related Quality of life should target older persons. The government of Uganda should consider improving housing conditions for older persons in rural areas.


Author(s):  
Kamna Singh ◽  
Anuj Kapoor ◽  
Nidhi Gupta

Background: Rabies although a fatal disease, remains a disease of low public health priority. India, about 18,000 to 20,000 cases is reported every year. Awareness about rabies is very poor among Indian population particularly in rural areas, due to which India and Bangladesh belongs to a high incident countriesMethods: Present study was descriptive and cross sectional in nature conducted in village Sai of block R.S. Pura. Data was collected by face to face interview of 200 participants using a pre structured questionnaire.Results: Knowledge about rabies was intermediate as majority of the people (78.5%) have heard about the diseases. About 144 persons enumerated hydrophobia as the most common symptom. Only 48.5% of the study participants knew that it is important to wash the wound with soap and running water and 53.5% respondents were in favor of consulting a doctor. 123 (61.5%) persons understood that rabies can be prevented by proper treatment of animal bite.Conclusions: Our study found that most of the respondents knew that dogs were mainly responsible for transmitting rabies. The recommended first aid for rabies is immediate flushing and washing of the wound with soap and water for a minimum of 15 minutes. This study revealed that most people placed the responsibility for controlling the dog population on the government. 


Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel

Background: The mitanin programme is a Community Health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the community health workers could significantly contribute towards the betterment of health outcomes. The objective was tostudy the awareness and practices of mitanins (ASHA) in rural areas of Bilaspur district.Methods: A community based cross sectional study was carried out among 180 mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection. SPSS 21.0 version software was used to analyze the data.Results: Most of the mitanins had good knowledge regarding antenatal visits (62.2%) & HBNC visits (52.2%). About (62.8%) had an average knowledge regarding basic cleans to be followed for safe deliveries & regarding danger signs of pregnancy (46.7%). About (36.1%) had poor knowledge regarding symptoms of diabetes & contraceptive advice for spacing (35.6%). About (82.2%) of mitanins had opinion that fast breathing is an indicator of immediate referral of child followed by child unable to drink or breast feed (61.1%). In case of pregnancy, mitanins considered indicators of immediate referral should be swelling of face/hands (90.6%) followed by vaginal bleeding (74.4%). Major activities that they have conducted in last six months includes; accompanying pregnant women for institutional deliveries (92.2%) & participation in immunization sessions (87.8%).Conclusions: Mitanins play vital role in providing primary health care but still they need to put into practice their knowledge about services. Despite the training given to mitanins, lacunae still exists in their knowledge regarding various aspects of health care. Many of them were not aware about family planning, diabetes, tuberculosis, danger signs for pregnancy & newborn that indicate the need for immediate referral. 


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