Family as the Main Caregivers during Child Delivery in Resource-Poor Settings of Nasarawa State, Nigeria

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Wilson Akpan
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Economic Status ◽  
Family Members ◽  
Sampling Technique ◽  
Population Based ◽  
Health Facilities ◽  
The Family ◽  
Resource Poor ◽  
At Home

This article drew from a population-based survey of 413 women to determine the proportion of births assisted by the family in resource-poor areas of Nasarawa State. “Resource-poor settings” was defined as rural communities without access to health facilities. This exploratory study utilised a two-stage cluster random sampling technique to select 413 houses where questionnaires were administered to women who had given birth in the five years preceding the study. Simple descriptive and inferential statistics were used to analyse the study data. The analysis reveals gross inequality in access to skilled birth facilities during childbirth in Nasarawa State. Births at home were common in rural areas among women of low socio-economic status who were illiterate. In resource-poor settings (where health facilities were unavailable), the family played a substantial role in child delivery. Specifically, while doctors and nurses attended to about 90 per cent of all births in resource-rich settings (where health facilities are available), the family members took delivery of 51.5 per cent of all births in resource-poor settings. Family members or relatives delivered the majority of the births that took place at home (61.6%). The traditional birth attendants assisted only 11.5 per cent of births within resource-poor settings, compared to only two per cent within resource-rich settings. The findings emphasised that the role of the family in caregiving during childbirth is not limited to providing social capital and emotional support but they also act as key caregivers, especially in resource-poor settings.

scholarly journals The profile of the Greek ‘XXL’ family

2011 ◽  
Vol 14 (10) ◽  
pp. 1851-1857 ◽  
Author(s):  
Athanasios Christoforidis ◽  
Spyros Batzios ◽  
Haralampos Sidiropoulos ◽  
Maria Provatidou ◽  
Dimitris Cassimos
Keyword(s):  
Rural Areas ◽  
Primary Schools ◽  
Dietary Habits ◽  
Economic Status ◽  
Food Products ◽  
Educational Status ◽  
Eating Behaviours ◽  
Socio Economic Status ◽  
The Family ◽  
At Home

AbstractObjectiveTo identify Greek families in which all members were overweight or obese (XXL families) and to describe their profile with regard to their socio-economic status and their eating behaviours and practices.DesignA prospective cohort study.SettingThe metropolitan area of Kavala.SubjectsWe recruited children aged 11 and 12 years from twelve primary schools, and their parents, from volunteers. Auxologic measurements of the children included height and weight. A structured questionnaire pertaining to information on the socio-economic status of the family, anthropometric values and educational status of parents, dietary habits and the availability of various food products and beverages at home, as well as dietary intake, physical activity, time spent sleeping and time spent watching television, was filled in by one of the parents of each child. A total of 331 families finally participated.ResultsIn sixty-one families (18·43 %) both parents and child were either overweight or obese (XXL family), and in seven of these families all members were obese. Only twenty-eight families (8·46 %) had all members with a normal BMI. The XXL family was associated with lower educational status of both parents, whereas a higher percentage of XXL families resided in rural areas and had lower income. Skipping breakfast and spending more than 3 h in front of a screen every day were more frequently observed in XXL families. With regard to the availability of various food products and beverages at home, no significant differences were observed between XXL families and the rest of the studied families.ConclusionsGreek XXL families have lower educational status and lower annual income.

scholarly journals Nursing consultation practice for psychosocial problems on heart failure patiens in hospital-based outpatient clinic

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati
Keyword(s):  
Heart Failure ◽  
Support System ◽  
Family Environment ◽  
Outpatient Clinic ◽  
Social Problems ◽  
Family Members ◽  
Psychosocial Problems ◽  
The Family ◽  
Hospital Outpatients ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

scholarly journals Medical laboratory professional’s week in Rwanda: a field report from the Simbi and Maraba communities

2021 ◽  
Vol 8 (5) ◽  
pp. 2111
Author(s):  
Gashema Pierre ◽  
Patrick Gad Iradukunda ◽  
Musafiri Tumusiime ◽  
Jean De Dieu Harelimana ◽  
Gad Rutayisire ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Sampling Technique ◽  
Health Sciences ◽  
Medical Laboratory ◽  
Potential Contribution ◽  
High Blood Glucose ◽  
The Sustainable Development ◽  
Southern Province ◽  
Outreach Activity

Background: In response to the need for interventions that facilitate the accessibility of medical services in poor communities, an outreach activity was organized in semi-rural areas of Maraba and Simbi sectors located in Huye district, Southern province of Rwanda. The outreach was undertaken by health sciences students and involved the screening of hypertension, risk of diabetes, hepatitis, anemia, eye disease, and HIV.Methods: Clinical assessments and rapid laboratory diagnostic assays were used to screen invited residents from the two selected communities. An observation research was conducted from May 21 to 25 May, 2018, at Maraba and Simbi sector located in Huye district, Southern province, Rwanda. We employed a purposively sampling technique for participants' recruitment in the outreach. The outreach was conducted as part teaching program and community engagement, and was endorsed by college of medicine and health sciences and all the subjects voluntarily participated in this exercise; the ethical approval was not applicable for this outreach activity. Results: The total beneficiaries from those sectors were 1427 citizens of whom females predominated at 72%. During the screening, hypertension was found to be high at 47.8% among adults. Anemia which mostly presumes iron deficiency was observed at 32.5% among under 15 years old children and at 15% in pregnant women. The vision impairment and cataract were observed at 5.66 and 19.59%, respectively. The assessed viral infection indicated a rate of 0.56% for HIV, 1.03% for HBV, and 7.17% for HCV. High blood glucose was found in 10.4% of the screened population.Conclusions: The findings highlight a high burden of non-communicable diseases (NCDs) in rural communities and call for further investigations and interventions to align with the sustainable development goals (SDGs), particularly access to affordable health services. Furthermore, the success of this outreach highlights the potential contribution of health care trainees in achieving these goals and calls for integration of such interventions in the health education curriculum.

A study to Assess the Psychosocial Issues Associated with Covid-19 Pandemic among the Family Members of Third year B.Sc. Nursing Students in selected Colleges of Pathanamthitta District

2021 ◽  
pp. 417-419
Author(s):  
Aleena Thomas ◽  
Anagha KV ◽  
Febin Irshad ◽  
Jyothilakshmi Jyothilakshmi ◽  
Kripa Chinnu ◽  
...  
Keyword(s):  
Nursing Students ◽  
Family Members ◽  
Sampling Technique ◽  
Demographic Variables ◽  
Stress Disorders ◽  
World Health ◽  
Psychosocial Issues ◽  
Post Traumatic Stress ◽  
Health Crisis ◽  
The Family

Background: In January 2020, the World Health Organization (WHO) declared that Covid-19 is characterized as pandemic. It is a major health crisis affecting several nations. The crisis generates stresses throughout the population. This pandemic condition is leading the public to experience psychosocial problems such as post- traumatic stress disorders, psychological distress, depression and anxiety. Objectives: 1. To assess the psychosocial issues of family members of third year BSc nursing students regarding the covid-19 pandemic. 2. To find out the association between the psychosocial issues with demographic variables. 3. To implement psychosocial education to overcome the psychosocial issues related to covid -19 pandemic. Methodology: A Non-experimental descriptive survey design was used to assess the perceived psychosocial issues associated with COVID-19 pandemic among the family members. The study was conducted among 50 samples selected by inclusion and exclusion criteria through random sampling technique. The data was collected by using a baseline data questionnaire. The data were collected, tabulated and analyzed by using descriptive and inferential statistics. Chi-square test was used to find out the association between selected demographic variables and psychological issues. Results: In the present study, the finding shows that the 76% of the parents have moderate impact on daily life style. 64% of parents have a mild impact on finance. 61% of the parents have mild insomnia. 60% of the parents have moderate level of anxiety and depression. Conclusion: The study concludes that psychosocial issues are a common phenomenon among the parents and grandparents.

Women Entrepreneurs and Determinants of Their Success: An Empirical Study

2020 ◽  
Vol 47 (2) ◽  
pp. 115-129
Author(s):  
Sudarshan Maity ◽  
Tarak Nath Sahu
Keyword(s):  
Women Entrepreneurs ◽  
Goodness Of Fit ◽  
Economic Status ◽  
Family Members ◽  
Easy Access ◽  
Access To Credit ◽  
Significant Difference ◽  
The Family ◽  
Lemeshow Test ◽  
Ease Of Doing Business

Using a Logistic regression model the present study investigates the important factors that influence on ease of doing business by the women entrepreneurs. The respondents are from the four different backward regions in West Bengal, India. The goodness of fit of the model is checked in terms of the Hosmer–Lemeshow test. Moreover, a large share of the women-owned business is a single person enterprise, generates lower revenues, and is smaller in size. The study shows that most women are engaged in small entrepreneurs to help their families financially. Though, women entrepreneurs are facing challenges of financing and non-cooperation from their family members. Even from non-cooperation from the family, they are engaged in entrepreneurship after managing their households’ work. The level of productivity will be enhanced significantly in case easy access to credit and support received from the family members. The support may be in terms of mental as well by helping in households’ work. Further, the application of the Welch’s t-test shows the non-existence of a significant difference in income level among the two groups, who have faced complexities and who have no complexities into running the entrepreneurship. To improve the socio-economic status of the female counterpart of the society, initiatives from the grassroots level are absolutely essential.

An Analysis of Contemporary Japanese Rural Families

2014 ◽  
pp. 122-136
Author(s):  
Yoshimi Kataoka
Keyword(s):  
Rural Areas ◽  
Rural Families ◽  
Family Members ◽  
Individual Freedom ◽  
The Family ◽  
Individual Self

Many Japanese researchers have suggested that both Japanese and Western societies are experiencing individualization of the family; whether or not this is the case in Japanese rural farming villages remains unclear. The purpose of this chapter is to investigate this question using a case study. The research involves interviews of families living in rural areas within the Shimane Prefecture, each engaged in agriculture, forestry, and/or fishery. The emerging picture is that it is increasingly difficult to find traditional Ie in rural farming villages today. For the rural farming family, individual freedom is important. However, respecting individuals seems to occur for the purposes of maintaining unity of the family as a group rather than for the purpose of individual self-realization. Therefore, emphasizing individual freedom does not mean conflict among family members (i.e., enforcement of competition with other family members or compromises by them).

Predictors of Place of Death for Seniors in Ontario: A Population-Based Cohort Analysis

2006 ◽  
Vol 25 (4) ◽  
pp. 363-371 ◽  
Author(s):  
Sanober S. Motiwala ◽  
Ruth Croxford ◽  
Denise N. Guerriere ◽  
Peter C. Coyte
Keyword(s):  
Home Care ◽  
Economic Status ◽  
Cohort Analysis ◽  
Care Facility ◽  
Multinomial Logit Model ◽  
Population Based ◽  
Place Of Death ◽  
Fiscal Year ◽  
Term Care ◽  
At Home

ABSTRACTPlace of death was determined for all 58,689 seniors (age ≥ 66 years) in Ontario who died during fiscal year 2001/2002. The relationship of place of death to medical and socio-demographic characteristics was examined using a multinomial logit model. Half (49.2%) of these individuals died in hospital, 30.5 per cent died in a long-term care facility, 9.6 per cent died at home while receiving home care, and 10.7 per cent died at home without home care. Co-morbidities were the strongest predictors of place of death (p< 0.0001). A cancer diagnosis increased the chances of death at home while receiving home care; seniors with dementia were most likely to die in LTC facilities; and those with major acute conditions were most likely to die in hospitals. Higher socio-economic status was associated with greater probability of dying at home but contributed little to the model. Appropriate planning and resource allocation may help move place of death from hospitals to nursing homes or the community, in accordance with individual preferences.

Analysis of whole and filleted stockfish (Gadusmorhua) marketing IN Ebonyi Rural Areas

2020 ◽  
Vol 35 (1) ◽  
pp. 103-110
Author(s):  
M.O. Nwabunike ◽  
G.V.C. Igwe ◽  
I.K. Agama ◽  
C.E. Esheya
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Sampling Technique ◽  
Cost Ratio ◽  
Gross Margin ◽  
Benefit Cost Ratio ◽  
Comparative Cost ◽  
Multi Stage ◽  
Broad Objective ◽  
Benefit Cost

The study was conducted with the broad objective of analyzing the profitability of marketing different forms (whole and filleted) of stock fish in Ebonyi rural markets. A total of 80 stock fish sellers were carefully selected through an unbiased (multi-stage and random) sampling technique. The data collected were analyzed using simple frequency and percentages as well as gross margin and comparative cost ratio. The result showed that 92.5% of the stockfish sellers were females and married with mean age of 38 years, mean household size of 9 persons and mean year of experience of 14. It was further observed that between the two forms of stock fish marketed in Ebonyi rural communities, filleted type was more profitable having a profit of N669,000 and benefit cost ratio (BCR) of N1: 2.352 as against that of whole form with a profit of N286,000 and BCR of N1: 1.685. The results of the study implied that it is advisable to market stock fish in the filleted form rather than selling it whole. Keywords: Stock fish, gross margin, marketing, profitability, Ebonyi Rural Area

Development of tourism and recreation clusters in depressed rural areas of Yaroslavl region

Servis plus ◽  
10.12737/7576 ◽  
2015 ◽  
Vol 9 (1) ◽  
pp. 4-8 ◽  
Author(s):  
Татьяна Кондакова ◽  
Tatyana Kondakova
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Economic Status ◽  
Rural Settlements ◽  
Agrarian Economy ◽  
Territorial Planning ◽  
Second Home ◽  
Cultural Sites ◽  
Recreation Areas ◽  
Geographical Position

The paper describes the possibility of forming a tourism and recreation cluster in depressed rural communities through a process of territorial planning (based on the example of rural settlements in Borisoglebskii and Bolsheselsky municipal districts of the Yaroslavl region). On the basis of the identified negative features of socio-economic status of the territories of rural settlements confirmed their depression and overall difficulty of further development. Substantiated what is happening now with changing functions of rural areas. As one of the potential strategic directions of development analyzed are the changes in the prevailing agrarian economy through the organization of tourist and recreational facilities. To this end, the group factors are identified that need to be supported in the implementation of this plan: a variety of tourist activities, natural and environmental, social and economic factors. In general, the article highlights that the formation of the tourist and recreation areas is conducive due to the immense open spaces, historical and cultural sites, unique landscapes, convenient geographical position. The problems of the deployment of tourist services on these territories are identified, which are mostly related to the imperfection of the legislation in relation to recreational areas, the existing practice of taxation and social and economic status. As a result, it is shown that in the procedure of spatial planning and in the process of identifying all the features and trends the functional role has changed and formation of qualitatively new areas of management has happened. Determined is the severity of the recreational functions of the system of settlement with respect to the combination of suburban settlements and second-home and production facilities.

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