scholarly journals Empowering Village Health Sanitation and Nutrition Committee members on dengue prevention and control: An educational interventional study in rural areas of Mysuru, Karnataka

2020 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Praveen Kulkarni ◽  
D. Sunil Kumar ◽  
Siddalingappa Hugara ◽  
Renuka Manjunath ◽  
M. R. Narayana Murthy
Keyword(s):  
Educational Intervention ◽  
Rural Areas ◽  
Prevention And Control ◽  
Major Public Health Problem ◽  
Interventional Study ◽  
Village Level ◽  
Audiovisual Aids ◽  
Nutrition Committee ◽  
And Control ◽  
Village Health

Objectives: Dengue, among all the vector-borne diseases, continues to be a major public health problem in India. Dengue once considered being problem in urban areas, now it is increasingly found in rural areas. Thus, empowering the village level functionaries like members of Village Health Sanitation and Nutrition Committee (VHSNC) can help in prevention and control of dengue in the rural areas. The present study was conducted to assess the effectiveness of educational intervention on perception regarding dengue and its prevention among VHSNC members. Material and Methods: This prospective interventional study was conducted among all 305 VHSNC members of two randomly selected primary health centers of Mysuru talukas for the period of 6 months. Baseline levels of perception on dengue were collected using a pre-tested structured questionnaire. Educational intervention on various domains of dengue and its prevention was provided using audiovisual aids, handouts, and group discussion. Endline survey was conducted 1 month after the education sessions to assess the effectiveness intervention. Results: A total of 305 VHSNC members participated in the study. In pre-test survey, only 189 (61.9%) had ever heard of disease dengue. In post-test survey, 274 (91.3%) had heard of dengue. There was a statistically significant improvement in perception regarding, preventable nature of dengue, mode of transmission, breeding and biting habits of mosquito, source reduction measures, and personal protective measures against mosquito bites following educational intervention. Conclusion: Educational intervention was found to be effective in empowering village level stake holders like VHSNC members regarding dengue and its prevention.

Preparedness for Mitigating Noncommunicable Diseases in Gaindakot Municipality, Nepal: Perspectives of Key informants

2021 ◽  
Vol 6 (1) ◽  
pp. 1320-1324
Author(s):  
Narayan Sapkota ◽  
Damaru Prasad Paneru
Keyword(s):  
Health System ◽  
Health Workforce ◽  
Prevention And Control ◽  
Local Level ◽  
Building Blocks ◽  
Health System Strengthening ◽  
High Morbidity ◽  
Major Public Health Problem ◽  
Screening Services ◽  
And Control

Introduction: Non-communicable Diseases (NCDs) are the major public health problem that leads to high morbidity and mortality in the world including Nepal. Government of Nepal has launched the Multi-sectoral NCD Action Plan in 2014 and established NCD and Injuries Poverty Commission in 2016 for the management and control of NCDs nevertheless the implementation status and its outcomes are not identified till date at the local level. Objectives: To explore the preparedness of the local government for the prevention and control of NCDs at Gaindakot, Nawalpur, Nepal. Methodology: A qualitative study was conducted in the Gaindakot municipality; Nawalpur to document the key informant's perspectives on health system's preparedness to prevent the potential impacts of NCDs. Face to face Indepth interview was performed using open-ended questions. Interview guidelines were prepared on the basis of building blocks of health system. Information was processed basis on thematic analysis. Result: The study revealed that health section has NCD preparedness structure but need to strengthening for the better delivery of health services. The study highlights that screening services and the medicine for major NCDs like hypertension and diabetes were available at local level. Limited budget was allocated and health workforce was not trained for NCDs prevention and control. There was no reporting mechanism for NCD related data from local level. Conclusion: Basic medicine and screening services were provided from the local level to the selected NCDs such as hypertension and diabetes. There was no provision of reporting NCD related information and health workforce were not trained to respond NCDs. Local level health system strengthening is an urgent need to address the increasing burden of NCDs.  

scholarly journals Prevention and Control of COVID-19 by Primary Health Care Facilities in China: A Field- Survey-Based Qualitative Study in Three Typical Cities

2021 ◽  
Author(s):  
Yunyun Yan ◽  
Teng-yang Fan ◽  
Yan-ling Zheng ◽  
Hai-qin Yang ◽  
Tian-shu Li ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Prevention And Control ◽  
Field Survey ◽  
Risk Levels ◽  
Face To Face ◽  
Primary Health ◽  
Community Residents ◽  
And Control

Abstract Background In fulfilling the COVID-19 containment, primary health care (PHC) facilities in China played an important role. We sought to investigate the exact tasks performed at the PHC facilities and the processes of COVID-19 prevention and control.Methods Semi-structured face-to-face interviews for primary care physicians (PCPs) and a simple survey for residents were conducted in the field survey. Based-on purposive stratified sampling, 32 PCPs were selected from 22 PHC facilities in Wuhan as a high-risk city, in Shanghai as medium-risk city and in Zunyi as low-risk city. In the field survey, semi-structured face-to-face interviews were conducted with PCPs to summarize the tasks of COVID-19 prevention and control at the PHC facilities. A simple survey was used to investigate the local residents’ awareness about COVID-19 prevention and control.Results In pre-outbreak period, the PHC facilities mainly engaged in storing medical supplies; in out-break period, they were responsible for screening, transferring, quarantine and treatment; in regular prevention and control period, attention was given to the employees and items of cold-chain & fresh food markets, etc. In Wuhan, PHC facilities focused on graded diagnoses and treatments of patients; in Shanghai, they were mainly engaged in at-home/centralized quarantine; in Zunyi, they focused on the screening of high-risk individuals. In urban areas, COVID-19 were more likely to be transmitted; in urban-rural areas, it was difficult to perform screening on the migrant populations; in rural areas, the risk was much lower. The community residents had satisfactory compliance with the preventive measures.Conclusion We identified differences in the prevention and control tasks performed at the PHC facilities in China. During the different phases of the pandemic, the tasks were adjusted depending on the gradually comprehensive understanding of COVID-19. Among the cities at different risk levels, screening, quarantine, transferring or treatment was chosen to be a priority accordingly. Located in different intra-city geographic locations at different risk levels, the PHC facilities conducted their own tasks accordingly. Additionally, compliance on the part of the local community residents could not be overemphasized in COVID-19 prevention and control.

Taking action on prevention and control of noncommunicable diseases in Bhutan by strengthening gross national happiness

2018 ◽  
Vol 4 (2) ◽  
pp. 46-50
Author(s):  
Gyambo Sithey ◽  
Anne Marie Thow ◽  
Jayendra Sharma ◽  
Karma Lhazin ◽  
Mu Li
Keyword(s):  
Risk Factors ◽  
Prevention And Control ◽  
Action Plan ◽  
Health Sector ◽  
Public Health Problem ◽  
Noncommunicable Diseases ◽  
Major Public Health Problem ◽  
Gross National Happiness ◽  
National Happiness ◽  
And Control

Noncommunicable diseases (NCDs) are major public health problem in Bhutan, accounting for 68% of total deaths. The growing epidemic of NCDs threatens the achievement of Gross National Happiness (GNH). NCDs are the results of complex interaction of social and economic risk factors and change in diet and lifestyle. Effective action to prevent and control these diseases requires a whole-of-government approach.In this paper we review new evidence to support political priority for NCDs in Bhutan. One third of the Bhutanese are overweight (33%) and hypertensive (35.7), and 6.4% are diabetic. The prevalence of modifiable risk factors is also very high. We also present the analysis of strategic policy opportunities for health sector to integrate the ‘Multisectoral national action plan for the prevention and control of NCDs, 2015-2020’ into policies across all relevant sectors. Our analysis has identified three specific opportunities for the health sector to engage strategically to strengthen action on NCDs and GNH, concurrently: 1) raising priority actions on NCDs within the existing GNH multisectoral committee, to achieve both health and happiness objectives; 2) identifying shared agenda between NCDs and GNH to achieve both health and happiness objectives; and 3) identifying shared GNH determinants between NCDs and GNH to enhance action on NCDs. Addressing NCDs aligns with the optimization of Gross National Happiness. It is imperative that the Government of Bhutan recognize that action on NCDs is an integral element for achieving GNH.

scholarly journals Six Year Trend Analysis of Malaria Prevalence in Bati District, Northeastern Ethiopia: A Retrospective Study

2021 ◽  
Author(s):  
Chala Daba ◽  
Edosa Kebede ◽  
Amanuel Atamo ◽  
Semere Reda
Keyword(s):  
Retrospective Study ◽  
Trend Analysis ◽  
Prevention And Control ◽  
Control Method ◽  
Malaria Incidence ◽  
Scale Up ◽  
Public Health Problem ◽  
Malaria Prevalence ◽  
Major Public Health Problem ◽  
And Control

Abstract Background: Malaria is still the leading cause of morbidity and mortality in developing countries including Ethiopia. Ethiopia is planned to minimize forty percent of malaria incidence at the end of 2020 by applying different prevention and control method. There is limited information about trend of malaria in the study area. Therefore, this study was designed to address this gap. Methods: Institutional based retrospective study was conducted from to determine a six-year trend analysis of malaria prevalence in the Bati district. All malaria cases were carefully reviewed by trained laboratory technologists from the laboratory record books of Bati hospital and health center. The data was entered in to excel 2013 and descriptive statistics were used to determine frequencies and percentages of malaria cases, trends of malaria transmission in terms of years and seasonal distribution. Result: A total of 84,269 and 22,185 malaria suspected patients were requested for blood films and Rapid diagnostic tests (RDT) respectively. Of this, 12,032 (11.3%) malaria cases were microscopically confirmed. Plasmodium falciparum were the most dominant parasite detected, which accounted for 57.6 %. The highest peak of malaria cases was reported during the summer season. The majority of the cases (57.2%) were reported among the >15 years age groupConclusion: Malaria is still a major public health problem in the study area. In order to decrease the number of malaria cases further, government, all healthcare workers, and community should strengthen and scale up malaria prevention and control strategies in the study area.

scholarly journals Paratuberculosis: The Hidden Killer of Small Ruminants

Animals ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Sanaa M. Idris ◽  
Kamal H. Eltom ◽  
Julius B. Okuni ◽  
Lonzy Ojok ◽  
Wisal A. Elmagzoub ◽  
...  
Keyword(s):  
Rural Areas ◽  
Prevention And Control ◽  
Small Ruminants ◽  
Disease Process ◽  
Economic Losses ◽  
Trade Restrictions ◽  
African Countries ◽  
Diagnostic Assays ◽  
Mycobacterium Avium Subsp Paratuberculosis ◽  
And Control

Paratuberculosis (PTB) is a contagious and chronic enteric disease of ruminants and many non-ruminants caused by Mycobacterium avium subsp. paratuberculosis (MAP), and is characterised by diarrhoea and progressive emaciation with consequent serious economic losses due to death, early culling, and reduced productivity. In addition, indirect economic losses may arise from trade restrictions. Besides being a production limiting disease, PTB is a potential zoonosis; MAP has been isolated from Crohn’s disease patients and was associated with other human diseases, such as rheumatoid arthritis, Hashimoto’s thyroiditis, Type 1 diabetes, and multiple sclerosis. Paratuberculosis in sheep and goats may be globally distributed though information on the prevalence and economic impact in many developing countries seem to be scanty. Goats are more susceptible to infection than sheep and both species are likely to develop the clinical disease. Ingestion of feed and water contaminated with faeces of MAP-positive animals is the common route of infection, which then spreads horizontally and vertically. In African countries, PTB has been described as a “neglected disease”, and in small ruminants, which support the livelihood of people in rural areas and poor communities, the disease was rarely reported. Prevention and control of small ruminants’ PTB is difficult because diagnostic assays demonstrate poor sensitivity early in the disease process, in addition to the difficulties in identifying subclinically infected animals. Further studies are needed to provide more insight on molecular epidemiology, transmission, and impact on other animals or humans, socio-economic aspects, prevention and control of small ruminant PTB.

scholarly journals Community overview on the differential prevalence of Hepatitis E in two Sub Counties in Kitgum District: A qualitative study

2021 ◽  
Author(s):  
Judith Aloyo ◽  
Juliet Kiguli ◽  
Christopher Orach Garimoi ◽  
David Lagoro Kitara
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Hepatitis E ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Community Control ◽  
Community Members ◽  
And Control ◽  
Village Health ◽  
Village Health Teams

Abstract Background There was an epidemic of Hepatitis E infection in Kitgum District in 2007. More than 10,422 people were infected, and over 166 deaths were registered due to the Hepatitis E virus. Kitgum District Health Management Information Systems (HMIS) showed that Hepatitis E cases continued to occur more in Mucwini than Kitgum Matidi Sub County despite instituting similar epidemic control measures in the two communities. The tenacity of the virus in Mucwini Sub County had remained unclear. Objective To assess communities’ views and perspectives on the differential prevalence of Hepatitis E in the two Sub Counties of Kitgum Matidi and Mucwini in Northern Uganda. Methods A cross-sectional study using qualitative methods was conducted. Four Focus Group discussions and six key informant interviews were conducted with village health teams, local council chairpersons, health workers, and community members. These persons were chosen purposively because of their expertise and experience in community and health services. Face-to-face interview guides were administered to obtain detailed information on factors associated with the differential occurrence of Hepatitis E in the two Sub Counties. This study was approved by a local IRB and Uganda National Council of Science and Technology (UNCS&T). Results The most significant findings from this study were the differences in prevention and control practices in the two communities. Residents of Mucwini were less compliant to infection, prevention, and control guidelines, and disagreements between local councilors and village health teams in Mucwini led to poor implementation and non-adherence to guidelines on community control of Hepatitis E. Conclusion A differentially higher prevalence of Hepatitis E in Mucwini than Kitgum Matidi Sub County resulted from poor personal and community hygiene and non-adherence to behavior change communication among residents Mucwini compared to their counterparts in Kitgum Midi. The authors recommend a more proactive approach in managing the epidemic by securing the willingness of the affected community to adopt appropriate infection prevention and control guidelines. In addition, disagreements among stakeholders should be resolved timely so that all community members adhere to control measures.

scholarly journals Analysis of the Role of General Practitioners Services in Rural Areas during the COVID-19 Epidemic

2021 ◽  
Vol 4 (2) ◽  
pp. 35
Author(s):  
Zuohua Liu  ◽  
Feiya Li ◽  
Zihan Liu ◽  
Qiuxia Wu ◽  
Xiangyu Li ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rural Areas ◽  
Prevention And Control ◽  
Health Resources ◽  
Central Committee ◽  
Weak Links ◽  
Public Health Emergencies ◽  
Crowd Control ◽  
And Control

Since the outbreak of the COVID-19, various regions of China have been rapidly deployed under the leadership of the Central Committee of the Party to actively prevent and control the COVID-19. The rural areas of my country have weak links to the prevention and management of public health emergencies. Problems include lack of medical and health resources and farmers’ low awareness of epidemic prevention. Situations that correspond to the prevention and management of the COVID-19 are more serious. As the patient’s first contact and “gatekeeper” in the fight against the epidemic, the general practitioner is responsible for the “first visit-subsequent ongoing intervention”. This article is about the prevention and control of the COVID-19 epidemics and epidemic prevention in terms of dissemination of knowledge, informed crowd control, joint prevention and control, and standardized management of people. This is a summary of the efforts of general practitioners. Quarantine at home, interactive referrals to medical consortiums, special care for contracted families. The function during the management period aims to analyze the role played by general practitioners during the epidemic and to provide new ideas for the prevention and management of the epidemic. Provide more targeted general practitioner-style services in rural areas to promote the implementation and improvement of health and poverty alleviation. The health level of the rural population provides a theoretical standard.

scholarly journals Epidemiological study of scarlet fever in Shenyang, China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Huijie Chen ◽  
Ye Chen ◽  
Baijun Sun ◽  
Lihai Wen ◽  
Xiangdong An
Keyword(s):  
Rural Areas ◽  
Scarlet Fever ◽  
Urban Areas ◽  
Primary Schools ◽  
Prevention And Control ◽  
Hot Spot ◽  
Temporal Distribution ◽  
Control Measures ◽  
And Control ◽  
Epidemiological Characteristics

Abstract Background Since 2011, there has been an increase in the incidence of scarlet fever across China. The main objective of this study was to depict the spatiotemporal epidemiological characteristics of the incidence of scarlet fever in Shenyang, China, in 2018 so as to provide the scientific basis for effective strategies of scarlet control and prevention. Methods Excel 2010 was used to demonstrate the temporal distribution at the month level and ArcGIS10.3 was used to demonstrate the spatial distribution at the district/county level. Moran’s autocorrelation coefficient was used to examine the spatial autocorrelation and the Getis-Ord statistic was used to determine the hot-spot areas of scarlet fever. Results A total of 2314 scarlet fever cases were reported in Shenyang in 2018 with an annual incidence of 31.24 per 100,000. The incidence among males was higher than that among females(p<0.001). A vast majority of the cases (96.89%) were among children aged 3 to 11 years. The highest incidence was 625.34/100,000 in children aged 5–9 years. In 2018 there were two seasonal peaks of scarlet fever in June (summer-peak) and December (winter-peak). The incidence of scarlet fever in urban areas was significantly higher than that in rural areas(p<0.001). The incidence of scarlet fever was randomly distributed in Shenyang. There are hotspot areas located in seven districts. Conclusions Urban areas are the hot spots of scarlet fever and joint prevention and control measures between districts should be applied. Children aged 3–11 are the main source of scarlet fever and therefore the introduction of prevention and control into kindergarten and primary schools may be key to the control of scarlet fever epidemics.

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