scholarly journals Stunting Diagnostic and Awareness: Impact assessment study of sociodemographic factors of stunting among school-going children of Pakistan (Preprint)

2019 ◽  
Author(s):  
Mahvish Ponum ◽  
Saadia Khan ◽  
Osman Hasan ◽  
Muhammad Tahir Mahmood ◽  
Asad Abbas ◽  
...  
Keyword(s):  
Rural Areas ◽  
Parental Education ◽  
Work Capacity ◽  
Public Health Issue ◽  
P Value ◽  
Detailed Knowledge ◽  
Age Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Study Results

BACKGROUND Stunting is a major public health issue in most of developing countries. Although, its worldwide prevalence is decreasing slowly but the number of stunted children is still rising in Pakistan. Stunting is highly associated with several long-term consequences, including higher rate of mortality and morbidity, deficient cognitive growth, school performance, learning capacity, work capacity and work productivity. To prevent stunting, we proposed Stunting Diagnostic and Education app. This app includes detailed knowledge of stunting and it’s all forms, symptoms, causes, video tutorials and guidelines by the Pediatricians and Nutritionists. OBJECTIVE The aim and objective of this study is to assess the prevalence of stunting in school-going children in Multan District of Punjab Pakistan and to analyze the risk factors associated with stunting in children under and over 5 age. This study presents Stunting Diagnostic and Education app to prevent the stunting in children under 5 age and children over 5 age (where required). METHODS A cross-sectional study has been conducted in schools of Multan District, Pakistan for the period of January 2019 to June 2019. Sample data of 1420 children, aged 4 to 18 years using three age groups, were analyzed by using SPSS version 21.0 to assess the prevalence of stunting and to analyze the main factors associated with it. Chi square test was applied in comparison with rural and urban participants and p-value <0.05 was considered as significant. This study includes distribution of sociodemographic characteristics, parental education, working status of mothers, dietary patterns of school going children and prevalence of stunting in school going children. After getting study results, Stunting Diagnostic and Education app was developed according to the instructions of child experts and nutritionists. RESULTS 354 (24.93%) participants were stunted out of 1420, 11.9 % children were obese and 63.17% children were normal. Out of 354 stunted children, higher ratio of stunting was found in the age group of 8-11 years children with 51.98 percentage. 37.85% stunted children were found in the age group of 4-7 years and 10.17% stunting was found in the age group of 12-18 years children. It was observed in the study that male children were highly stunted than female with 57.91 % and 42.09% respectively. Children living in rural areas were more stunted affected as compared to the children living in urban society with percentage 58.76 and 41.24 respectively. CONCLUSIONS Our study concluded that 24.93% children were stunted, out of which, age group of 8-11 years children were highly stunted. The study showed that the literacy of mother or caregiver had high impact on children’s health. Therefore, Stunting Diagnostic and Education app was developed to educate mothers to prevent stunting.

scholarly journals Stunting Diagnostic and Awareness: Impact assessment study of sociodemographic factors of stunting among school-going children of Pakistan

2020 ◽  
Author(s):  
Mahvish Ponum ◽  
Saadia Khan ◽  
Osman Hasan ◽  
Muhammad Tahir Mahmood ◽  
Asad Abbas ◽  
...  
Keyword(s):  
Rural Areas ◽  
Parental Education ◽  
Work Capacity ◽  
Public Health Issue ◽  
P Value ◽  
Detailed Knowledge ◽  
Age Group ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Study Results

Abstract Background: Stunting is a major public health issue in most of developing countries. Although, its worldwide prevalence is decreasing slowly but the number of stunted children is still rising in Pakistan. Stunting is highly associated with several long-term consequences, including higher rate of mortality and morbidity, deficient cognitive growth, school performance, learning capacity, work capacity and work productivity. To prevent stunting, we proposed Stunting Diagnostic and Education app. This app includes detailed knowledge of stunting and it’s all forms, symptoms, causes, video tutorials and guidelines by the Pediatricians and Nutritionists.Methods: A cross-sectional study has been conducted in schools of Multan District, Pakistan for the period of January 2019 to June 2019. Sample data of 1420 children, aged 4 to 18 years using three age groups, were analyzed by using SPSS version 21.0 to assess the prevalence of stunting and to analyze the risk factors associated with it in children under and over 5 age. Chi square test was applied in comparison with rural and urban participants and p-value <0.05 was considered as significant. This study includes distribution of sociodemographic characteristics, parental education, working status of mothers, dietary patterns of school going children and prevalence of stunting in school going children. After getting study results, Stunting Diagnostic and Education app was developed according to the instructions of child experts and nutritionists.Results: 354 (24.93%) participants were stunted out of 1420, 11.9 % children were obese and 63.17% children were normal. Out of 354 stunted children, higher ratio of stunting was found in the age group of 8-11 years children with 51.98 percentage. 37.85% stunted children were found in the age group of 4-7 years and 10.17% stunting was found in the age group of 12-18 years children. It was observed in the study that male children were highly stunted than female with 57.91 % and 42.09% respectively. Children living in rural areas were more stunted affected as compared to the children living in urban society with percentage 58.76 and 41.24 respectively.Conclusions: Our study concluded that 24.93% children were stunted, out of which, age group of 8-11 years children were highly stunted. The study showed that the literacy of mother or caregiver had high impact on children’s health. Therefore, Stunting Diagnostic and Education app was developed to educate mothers to prevent stunting.

scholarly journals Factors Associated with Social Avoidance of Recovered COVID-19 Patients in Iran: A National Study

2021 ◽  
Author(s):  
Teamur Aghamolaei ◽  
Shokrollah Mohseni ◽  
Azin alavi ◽  
mohammed hossein chalak ◽  
Hesamaddin Kamalzadeh Takhti ◽  
...  
Keyword(s):  
Linear Regression Analysis ◽  
Education Level ◽  
National Study ◽  
Multivariate Linear Regression Analysis ◽  
Age Group ◽  
Social Avoidance ◽  
Cross Sectional ◽  
Factors Associated ◽  
Study Results ◽  
The Impact

Abstract Background: Misconceptions about the infection and health consequences of recovered Coronavirus Disease 2019 (COVID-19) patients often lead to a fear, social avoidance and discriminatory attitude. The present study explored the Factors associated with social avoidance and job-related discriminatory attitude against recovered COVID-19 patients. Methods: The present cross-sectional online study was conducted on 3,836 Iranian participants above 15 years old. The participant selected conveniently between February 19, 2021 and May 21, 2021. The data collected using a reliable and valid questionnaire that developed by research team. Univariate and multivariate linear regression analysis was used to identify the impact of factors related to social discrimination and discriminatory attitudes towards improved COVID-19 patients. Results: The results shows 56.72 and 49.06% of the population had social avoidance and job-related discriminatory attitude respectively. Furthermore, age, gender, education level, marital status, employment, presence of a recovered COVID-19 patient in family and place of residence were significant factors influencing social avoidance and job-related discriminatory attitude. As an instance, those in the 45-64 age group showed 1.1 times more social avoidance than the 20-29 age group. Also, men showed 37% less social avoidance than women. Social avoidance was significantly higher and the discriminatory attitude was higher in participants of lower education level. Besides, the job-related discriminatory attitude was 1.2 times higher in the 45-64 than the 20-29 age group. The discriminatory attitude was 16% less in men, 39%, 25% and 49% less, respectively in participants with a secondary school, diploma or university degree.Conclusions: To reduce social avoidance and job-related discriminatory attitude we suggest that the medical sector and relevant organizations provide clear and comprehensive information about improved COVID-19 patients to their families and general public through direct communication and the mass media. Base on the study results they need more focus on urban residents, women and families with a recovered member

scholarly journals Faktor Resiko Penyakit Infeksi Menular Seksual (IMS)

2018 ◽  
Vol 9 (3) ◽  
pp. 419
Author(s):  
Maria Tuntun
Keyword(s):  
Risk Factors ◽  
High School ◽  
Design Research ◽  
P Value ◽  
Age Group ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Cross Sectional Design ◽  
Age Range

<p>Sexually transmitted infections (STIs) are venereal diseases that can be transmitted by 30 types of pathogens through sexual intercourse. The purpose of this study is to find out the risk factors for STI disease in dr. H Hospital. Abdul Moeloek Lampung Province in 2012 - 2016. Type of descriptive analytic research with a cross-sectional design. Research place in RSUD dr. H. Abdul Moeloek Lampung Province, in November-December 2017. The population in this study were patients with STIs recorded in the medical record book of 2012-2016 as many as 191 people and a sample of 186 people. The results of the study obtained 4 types of STIs caused by bacteria, namely gonorrhea, syphilis, condyloma, and bartolinitis. The age range of STI patients is 12-62 years, and the most in the 12-25 year age group is 93 people (50%). The most STI sufferers are men, 100 people (53.8%), with the highest education is high school, which is 121 people (65.1%), more STI patients who work are 102 people (54.8%), and STI sufferers who more from Bandar Lampung, 103 people (55.4%). Risk factors associated with the type of STI are gender (p-value=0.012) and work (p-value=0.012), while age (p-value=0.718), education (p-value=0.368), and residence address (p-value=0.088) there is no relationship with the type of STI.</p>

scholarly journals Prevalence of caesarean section and womens' attitude towards caesarean section in Manipur, North-Eastern India

2020 ◽  
Vol 7 (2) ◽  
pp. 694
Author(s):  
Joymati Oinam ◽  
Shantibala Kongjenbam ◽  
Yumnam Ningthemba Singh
Keyword(s):  
Caesarean Section ◽  
Rural Areas ◽  
Age Groups ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Favorable Attitude ◽  
Public Health Issue ◽  
P Value ◽  
Sampling Frame ◽  
Cross Sectional

Background: The rapid increase of caesarean section (CS) rate throughout the world has become a serious public health issue since the level of CS is well above the WHO (1985) recommended 15% and it is increasing over time. Objectives of the study was to determine the prevalence of caesarean section and women’s attitudes towards CS, to investigate rural-urban differences and any associated factors between attitude with socio-demographic factors.Methods: A cross-sectional study was conducted in urban and rural areas of three districts of Manipur from 2015 to 2017 among 600 eligible married women aged 18-35 years selected by simple random sampling. Household was taken as sampling unit and electoral roll (2013) as sampling frame. An interview schedule was used for data collection. Descriptive statistics like mean, SD, proportion and inferential statistics like χ2 test was used. p-value 0.05 was considered as statistically significant.Results: Mean age of the participants was 29.7±4.6 years. The overall prevalence of CS rate was 18.5% and the first child CS rate was 19.9% and majority of them belongs to 30-35 age groups. Majority of the women (84.2%) have neutral attitude and only 7.6% have favorable attitude towards CS. Favorable attitude towards CS was more among women who married at ≥30 years, whose husband was >30 years and was a government employee and who ever had CS.Conclusions: Although the prevalence of CS is well above the WHO (1985) recommendation. Majority still preferred vaginal delivery and the demand for CS is low in the present setting. 

scholarly journals Factors Associated with Knowledge, Attitudes, and Prevention towards HIV/AIDS among Adults 15–49 Years in Mizoram, North East India: A Cross-Sectional Study

2021 ◽  
Vol 19 (1) ◽  
pp. 440
Author(s):  
Lucy Ngaihbanglovi Pachuau ◽  
Caterina Tannous ◽  
Kingsley Emwinyore Agho
Keyword(s):  
Rural Areas ◽  
Immune Deficiency Syndrome ◽  
Educational Interventions ◽  
Deficiency Syndrome ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Factors Associated ◽  
North East India ◽  
North East ◽  
Hiv Aids

Despite a campaign of effective educational interventions targeting knowledge, attitudes, and prevention, Human Immunodeficiency-Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) continues to be a significant public health issue in India, with Mizoram reporting the highest HIV/AIDS cases in 2018–2019. In this study, we extracted Mizoram state from the National Family Health Survey Fourth Series (NFHS-4) 2015–2016 datasets and investigated factors associated with respondents’ knowledge, attitudes, and prevention towards HIV/AIDS. The sample included 3555 adults aged 15–49 years residing in Mizoram, North-east India. Respondents who reported having ever heard of HIV/AIDS was 98%. Multivariate analysis indicated that the probability of having inadequate knowledge of HIV/AIDS was higher among those with no schooling, who were illiterate, of non-Christian faiths, belonging to backward tribes or caste, from poor households, and those who lived in rural areas, not exposed to media. The odds of mother-to-child transmission (PMTCT) of HIV/AIDS transmission was high among females (AOR = 3.12, 95% CI 2.34–4.16), respondents aged 35–39 years (AOR = 1.74, 95% CI 1.05–2.87) and those belonging to other backward class. The HIV/AIDS knowledge of respondents was found to be encouraging as the majority (98%) were considered to have a good level of understanding of the condition. An educational intervention to reduce the number of adults 15–49 years infected with HIV/AIDS in Mizoram should target those from low socioeconomic groups, those from non-Christian religions, and those from other backward classes.

scholarly journals Early contraceptive implants removal and its associated factors among women using implants at National Referral hospital, Kampala Uganda.

2020 ◽  
Author(s):  
Gerald Ssebatta ◽  
Dan Kaye ◽  
Scovia Mbalinda
Keyword(s):  
Side Effects ◽  
Rural Areas ◽  
Health Workers ◽  
Implant Removal ◽  
P Value ◽  
Multivariable Logistic Regression Model ◽  
Early Discontinuation ◽  
Cross Sectional ◽  
Factors Associated ◽  
Contraceptive Implants

Abstract Background. Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs and is generally higher in developing countries. Discontinuation is closely related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. The proportion and factors associated with early contraceptive implant removal are not well known in Uganda. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods: A facility-based cross-sectional study was conducted from 2nd January to 3rd March 2020 through a face-to-face interview. A total of 207 Implant user women were selected by systematic random sampling technique. SPSS version 20 was used for both data entry and analysis. Factors associated with early Implant discontinuation were analyzed using a binary and multivariable logistic regression model. Variables with a p-value of <0.05 and a 95% confidence interval were considered as statistically significant. Results. The proportion of early implant discontinuation was 42%. Factors associated with early implant discontinuation included; experience of side effects (OR= 2.629; 95%CI: 1.095-6.314; P= 0.031), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (OR= 2.565; 95%CI: 1.190-5.532; P= 0.016) and staying in rural areas (OR= 2.390; 95%CI: 1.229-4.648; P= 0.010). Conclusion. Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal were the experience of side effects, lack of effective counseling before insertion, and staying in rural areas. Hence, health workers should provide adequate counseling services before insertion of the implant with emphasis on possible side effects and their immediate management. Spouses, where possible, should be involved during the counselling to increase implant retention. Also proper screening of women for pregnancy before insertion of an implant should be routine.

scholarly journals Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia

2021 ◽  
Vol 27 (3) ◽  
Author(s):  
Md Mizanur Rahman ◽  
◽  
Andrew Kiyu ◽  
Neilson Richard Seling ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Rural Areas ◽  
Parental Education ◽  
Wealth Index ◽  
Household Wealth ◽  
World Health ◽  
Age Group ◽  
Poor Appetite ◽  
Under Five ◽  
Factors Associated

Background: Undernutrition among children has become a major public health issue due to the high risk of morbidity and mortality involving this vulnerable age group. This study focused on the rural population, especially among the Dayak children in Sarawak, Malaysia. Methodology: This community-based cross-sectional study was conducted in Sarawak’s rural areas using a multistage stratified cluster sampling technique. Data were collected through face-to-face interviews using an interviewer-guided questionnaire. The nutritional status of the under-five children was measured according to the World Health Organization guidelines. The nutritional indicators were calculated as z-scores. Multivariate logistic regression analyses were performed using SPSS to identify the factors associated with nutritional status. Results: The prevalence of undernutrition among the under-five Dayak children in the rural areas of Sarawak was 39.6%. The analysis suggested that wasting was predominantly associated with parental education levels of primary and below, poor wealth index, environmental and sanitation issues, children with history of low birth weight, shorter duration of exclusive breastfeeding, and poor appetite. Stunting was high within the age group of <3 years old and was associated with parents’ occupation and household wealth index. Low parental education, poor wealth index, environmental and sanitation issues, poor appetite, and the children’s recent illness predicted underweight. Conclusion: These findings imply that a multi-sectoral and multi-dimensional approach is essential to address undernutrition in rural settings. Improvement on households’ socioeconomy, environment and sanitation should be emphasised to reduce undernutrition among the children.

scholarly journals Assessment of service satisfaction and associated status among women who have given birth in Adigrat general hospital, Ethiopia, 2018.

2020 ◽  
Author(s):  
Teferi Gebru Gebremeskel ◽  
Desta Tukue ◽  
Lemlem Gebremariam ◽  
Hirut Teame
Keyword(s):  
Service Delivery ◽  
General Hospital ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Service Satisfaction ◽  
P Value ◽  
Summary Statistics ◽  
Maternal Satisfaction ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: The study aimed to assess the satisfaction of service delivery and the associated status among women who gave birth to Adigrat general hospital, Ethiopia, 2018. Methods: Institutional based cross-sectional study design was conducted in Adigrat hospital from February to March 2018. Interviews with interviewed using structured questionnaires of 302 systematic women who were born at general hospital. The information is submitted to EPI-info version 7.2 and exported to SPSS version 20 for analysis. Summary statistics and logistic regression analyses were performed. OR with two-sided 95% CI and P-value<0.05 were used to identify the factors associated with the service satisfaction. Result: Maternal satisfaction in labor and delivery was70.2%. Women living in rural areas were 98.8% times less likely to be satisfied with service delivery than those living in urban area (AOR: 0.012, 95%CI (0.002, 0.065). women who plan to give birth at the hospital have more than forty times more than their referrals for maternity service (AOR: 40.43, 95%CI (2.75, 595.23)).Conclusion: The overall share of mothers who were satisfied with the service they provided was appropriate. As a city resident and the reason for delivering in the hospital are related to service satisfaction. Therefore the staff of the hospital has a continuing education and personal relationship. The care giver must fully understand the value of their care and provided care that is in line with those expectations.

COMPARISION OF DENTAL SCORING SYSTEM WITH RADIOGRAPHIC SKELETAL SYSTEM IN AGE ESTIMATION

JKCD ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 9-11
Author(s):  
Sadaf Ambreen
Keyword(s):  
Age Estimation ◽  
Scoring System ◽  
Skeletal Age ◽  
Chronological Age ◽  
Age Group ◽  
Dental Age ◽  
Scoring Method ◽  
Cross Sectional ◽  
Study Results ◽  
Male Subjects

Objectives: To compare Demirjian Dental scoring method with Greulich-Pyle (GP) Skeletal method of age estimation in pubertal children. Materials and Methods: Sample of the study included 267 male healthy subjects of 11-16 years of age group.. Demirjian Scoring system was utilized to evaluate the orthopantomograms to assess their Dental age and the Hand-Wrist radiographs were analyzed to calculate the skeletal age by utilizing GP atlas. Chronological age was obtained from the date of birth of the subject .Both methods were compared with one another and with the chronological age. It was a cross-sectional study and only healthy male subjects without any clinical abnormalities were included in the study. Results: A total of 267 male subjects of 11-16 years of age group were assessed by Demirjian and Greulich Pyle Methods. Both were compared with Chronological Age. Data obtained was statistically analyzed and the Student “t” test was applied in the study population. The mean difference between Chronolgical age and dental age was 0.69years and that of chronological age and skeletal age was 0.87 years. It was observed from dental age assessment that it does not differ much from the skeletal age. Conclusion: It was concluded that Demirjian method of Age Estimation is more precise than Greulich Pyle method of Age Estimation. Furthermore both methods can be used selectively in Medicolegal cases to access bone age which can be easily correlated to chronological age.

scholarly journals Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenping Ding ◽  
Jianmei Lu ◽  
Yan Zhou ◽  
Weizhong Wei ◽  
Zhihong Zhou ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Pregnant Women ◽  
Influencing Factors ◽  
Information Source ◽  
Influential Factors ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Factors Associated ◽  
Attitudes And Practices ◽  
Prenatal Anxiety

Abstract Background Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. Methods Pregnant subjects’ KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson’s chi-square test and multivariable logistic regression analyses. Results The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. Conclusion Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.

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