Household Preparedness for Public Health Emergencies among Urban Communities of Ahmedabad, Gujarat, India - A Community Based Cross-Sectional Study

2021 ◽  
Vol 8 (33) ◽  
pp. 3066-3072
Author(s):  
Donald S. Christian ◽  
Rujul P. Shukla ◽  
Hardik J. Sutariya ◽  
Yash R. Patel

BACKGROUND Public health emergencies including a disaster are inevitable. Moreover, the vulnerability and health impacts are more profound in urban densely populated dwellings. Household preparedness for public health emergencies need to be focused to minimize the morbidity and mortality associated with such situations. METHODS An urban community, situated in field practice area of a tertiary care teaching institute of Ahmedabad, Gujarat was approached for a cross-sectional study through door to door structured interviews. A pre-designed questionnaire was administered to assess the knowledge as well as preparedness for public health emergencies among the respondents. The adult representative family member from each of the selected households formed the sampling unit. Statistical tests of association and logistic regression analysis were used to find our relationship between household preparedness and some of the independent factors. RESULTS From a total of 405 households, majority of the respondents were male (65.7 %), married (92.1 %), having secondary level education (43.7 %) and belonged to socio-economic class IV (37.8 %). Only 44 % of the respondents had experienced any form of public health emergency in the past and only 14.6 % had an experience of relief work. “Flash floods following heavy rains” and “earthquake” were the commonest disaster experienced by the respondents. None of the surveyed households had first aid kit or a fire-extinguisher. Majority of the respondents (N = 280, 69.1 %) were aware of emergency contact numbers in case of public health emergencies. The overall household level preparedness was only 12.59 %. Perceived susceptibility to public health emergencies and household preparedness had significant statistical associations with education, occupation, type of house and socio-economic class. CONCLUSIONS Education, occupation, and social class play roles in both perception as well as household preparedness for public health emergencies. A very low level of preparedness and their possible factors should be addressed through adequate channels so that the damage due to such emergencies could be minimized. KEYWORDS Disaster, Household Preparedness, Public Health Emergency, Urban Community

Author(s):  
Kartikey Yadav ◽  
Ananya Ray Laskar ◽  
S. K. Rasania

Background: Public health emergencies during pandemics of communicable diseases, may cause fear leading to social isolation and stigma. Cases have been reported of healthcare professionals (HCPs), facing discrimination on account of heightened fear and misinformation. However, there is dearth of literature with regards to the nature and magnitude of this stigma. Hence, this study was conducted to assess perceived and experienced stigma related to the Coronavirus disease 2019 (COVID-19) among HCPs and also assess their apprehensions about testing, quarantine/isolation and consuming Hydroxy-chloroquine as prophylaxis (HCQ).Methods: A cross-sectional study was undertaken among the HCPs working in Delhi during the period May to July 2020. The study was conducted using a semi-structured online questionnaire which was circulated on official contact numbers and email IDs of HCPs in the Google.doc format.Result: Seventy percent of the participants in the current study perceived some kind of stigma, 50% of study participants perceived some form of stigma in their residential colony, 46% observed change in behaviour of their neighbours. Around 20% of participants experienced stigma, most commonly being rude behaviour or harassment from neighbour/landlord. A statistically significant association was observed between marital status (p=0.038), designation (p=0.021) and place of stay (p=0.013) of the study participants and perceived stigma among them. The level of awareness regarding HCQ was high (94.3%), but more than 60% didn’t consume it due to apprehension about side effects.Conclusion: In view of the substantial stigma faced by the HCP, necessary measures to curb the fear and dispel misinformation related to COVID-19 must be undertaken. the rural population.


2022 ◽  
pp. 1394-1401
Author(s):  
Suci Safwa Salsabila ◽  
Andi Surahman Batara ◽  
Nurfardiansyah Bur

Covid-19 adalah ancaman yang nyata dihadapi oleh negara di dunia. sejak tanggal 30 Januari 2020 WHO telah menetapkan sebagai Kedaruratan Kesehatan Masyarakat Yang Meresahkan Dunia / Public Health Emergency of International Concern (KKMMD/PHEIC). Penambahan jumlah kasus COVID-19 berlangsung cukup cepat dan sudah terjadi penyebaran antar negara. virus corona adalah virus yang menyebabkan flu biasa hingga penyakit yang lebih parah seperti Middle east respiratory syndrome coronavirus (MERS-CoV)  dan Severe acute respiratory syndrome (SARSCoV) dan menyebabkan kematian. sampai saat ini, belum ada vaksin untuk mencegah infeksi virus corona,adapun tujuan dari penelitian ini adalah untuk mengetahui faktor yang mempengaruhi kepribadian karyawan terhadap kepatuhan dalam menjalankan protokol covid-19.Penelitian ini bersifat kuantitatif dengan rancangan pendekatan cross sectional study. Populasi dalam penelitian ini adalah 80 karyawan menara UMI dan dipilih menggunakan Total sampling. Pengumpulan data menggunakan kuesioner secara offline selama satu bulan. Analisi data yang digunakan di dalam penelitian ini berupa analisis bivariate menggunakan uji chi square. Hasil Penelitian didapatkan bahwa terdapat faktor yang memiliki pengaruh terhadap kepatuhan karyawan dalam menjalankan protokol covid-19 yaitu kepribadian (p 0,000), sehingga diketahui bahwa variabel tersebut memberikan pengaruh nyata terhadap kepatuhan karyawan terhadap protokol covid-19.


Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 48-52
Author(s):  
Shaily Surti ◽  
J. K Kosambiya ◽  
Anas Patni

Introduction: Adolescents (10–19 years) and young people (20–24 years) continue to be vulnerable to Human Immunodeficiency Virus (HIV) infection despite efforts to date. HIV-infected adolescents with long standing HIV infection often face considerable physical challenges - delayed growth and development, stunting/wasting and malnutrition. Objectives: (a) To study the clinical profile of HIV infected adolescents (b) To assess the anthropometric profile using age-standardized scores. Method: The cross-sectional study was conducted at HIV clinic, at Anti-retroviral Treatment (ART) Centre, Surat (Tertiary Care Level Institute) among adolescents between age-group 13-19 years during December-2015 to February-2016. Based on the desk review, total 134 adolescents were identified, out of which 105, could be contacted during study period and fit in the inclusion criteria. Participants who were alive, on Pre-ART/ART and their status had been disclosed and gave consent for the interview were included in the study. Results: Majority of the participants were on ART (95.3%). About half (55.6%) of the participants had suffered from opportunistic infection. Majority of the patients were at WHO stage I (93.75). Mean CD4 count during study was 640 cells/cubic mm (SD±401.42). Out of 105 participants, 14.5% were suffering from severe thinness and 14.5% were suffering from thinness & 36.2% participants were suffering from severe stunting and 16.4% were suffering from stunting. Mean age of participants was 15.64 years (SD ±2.02). Majority of the participants belonged to Socio-economic class IV (36.8%) and class III (31.1%) followed by Class V (17%), class II (13.2%) and Class I (1.9%). Conclusion: The anthropometric measurements suggest that nutrition aspect is not fully recovered, as majority of the participants suffer from stunting and wasting; stunting more than wasting indicating chronic malnutrition.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Nearmeen M. Rashad ◽  
Marwa G. Amer ◽  
Waleed M. Reda Ashour ◽  
Hassan M. Hassanin

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.


Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.


Sign in / Sign up

Export Citation Format

Share Document