scholarly journals Assessment of Oral Health Care Delivery System in Greater Noida Using Five A’s Model

2019 ◽  
Vol 3 (9) ◽  
pp. 303-313
Author(s):  
Insha Nissar ◽  
Bhuvandeep Gupta ◽  
Priyanka Kotia ◽  
Kirti Raina ◽  
Akansha Monga
Keyword(s):  
Family Income ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services ◽  
Study Population

BACKGROUND: Access to dental health services refers not only to utilization but also to the extent by which the utilization is judged as per the professional norms using five independent dimensions of accessibility, availability, accommodation, affordability and acceptability. AIM: The aim of the study is to assess the dental services utilization among population of Greater Noida using Five A’s model. MATERIALS AND METHOD: The study was conducted in Dental College in Greater Noida. This cross-sectional study was carried out on the 200 subjects using convenient sampling on the patients visiting dental OPD.A self-administered structured questionnaire in English and Hindi language was used. Data was entered in the Microsoft excel sheet and analysed using SPSS (version 20.0).RESULTS: Mean level of access to dental services in the study population was 60.3.Corresponding figures for affordability, availability, accessibility, accommodation and acceptability were 55.2 ± 12.1,57.1± 12.8,60.75 ± 14.7,61.75 ± 8.7,58.65± 11.4 respectively.CONCLUSION: According to the results of our study , the level of access to dental care services is not very good with family income, location and level of education being the determinants of this access.

scholarly journals Clinical profile of children aged 2 months to 60 months presenting with wheeze in a tertiary medical centre

2020 ◽  
Vol 7 (5) ◽  
pp. 1117
Author(s):  
Arup Ratan Mondal ◽  
Ch Shyamsunder Singh ◽  
Moirangthem Meenakshi Devi ◽  
Cindy Laishram ◽  
T. Kambiakdik
Keyword(s):  
Cross Sectional Study ◽  
Vital Role ◽  
Clinical Profile ◽  
Medical Sciences ◽  
Term Outcome ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
Number Of Children ◽  
Care Services ◽  
Study Population

Background: Wheezing is common throughout infancy and childhood except in the neonatal period where it is relatively rare. By 10 years of age, about 19% of children experience wheezing with an average onset at 3 years of age. This study was aimed to identify the diverse factors associated with wheezing in children aged 2 months to 60 months and to study clinical profile along with short term outcome of the same.Methods: It was a hospital based cross-sectional study carried out in the Department of Paediatrics, Regional Institute of Medical Sciences Hospital (RIMS), Imphal, Manipur. The Study population consisted of randomly selected 131 children aged 2 months to 60 months who were admitted in Paediatrics ward with the symptom of wheezing.Results: Authors found that age below 12 months, male sex, low socioeconomic conditions and artificial breastfeeding practices were important risk factors for wheeze.Conclusions: Wheezing is accountable for a high demand of medical consultations and emergency care services with relatively high rates of hospitalization. Along with ARI, it plays an important role in infant mortality. In Manipur, it is being observed that increasing number of children with wheezing are attended by paediatricians in ED, OPD and ward, thereby proving an added burden to the younger age group. Therefore proper health education and counselling of parents, promotion of exclusive breast feeding and improvement of socioeconomic status can play a vital role in preventing occurrence of wheeze among the children.

scholarly journals Physicians' Attitudes toward Unnecessary Tests and Processes in the Health Care Delivery System; a Cross-Sectional Study

2021 ◽  
Vol 6 (2) ◽  
pp. 115-124
Author(s):  
Fatemeh Farhadi ◽  
Rahim Khodayari ◽  
Zahra Mobarak ◽  
Morteza Arab-Zozani ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
System A

scholarly journals Patterns of antenatal care services utilization in rural Amroha, Uttar Pradesh: a community based cross sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 4048
Author(s):  
Bhaskar K. Watode ◽  
Anurag Srivastava ◽  
Rajeev Kumar
Keyword(s):  
Antenatal Care ◽  
Care Delivery ◽  
Economic Status ◽  
Uttar Pradesh ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Family Type ◽  
World Health ◽  
Cross Sectional ◽  
Maternal Deaths

Background: Antenatal care (ANC) services are considered to be the crucial element in the primary health care delivery system of a country. World Health Organization (WHO) estimates suggested that almost all of the maternal deaths (99%) and child deaths (98%) occurred in developing countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. The objectives of the present study were conducted in rural parts of district Amroha, Uttar Pradesh for assessing the patterns of utilization of the ANC services and to ascertain the factors influencing utilization of ANC services.Methods: The present study was a cross sectional in nature. Recently delivered women were selected as study subject. A multi-stage stratified sampling design with random approaches had been used. Total 360 subjects included in the study.Results: Respondents age, education, occupation, socio economic status, family type and family size were the factors that influenced the utilization of the ANC services. With 100% ANC registration, sub centre was the most preferred place for registration. 76.9% of woman received more than 3 ANC visits. 315 (87.5%) and (71.9%) respondents received 2 doses to TT vaccine and more than 100 IFA tablets respectively.Conclusions: Utilization of ANC services are on rise in rural parts of Amroha, Uttar Pradesh. Still significant proportions of women are doesn’t return to health facility after the ANC registration. Intensification of efforts is needed to cater this left out group through improving community awareness and motivation.

scholarly journals FREQUENCY AND DETERMINANTS OF DENTAL CARIES IN LOCAL INHABITANTS OF A RURAL DISTRICT OF KHYBER PAKHTUNKHWA PAKISTAN

2021 ◽  
Vol 29 (01) ◽  
pp. 30-33
Author(s):  
Muhammad Naeem ◽  
Muhammad Ishtiaq ◽  
Atif Hussain ◽  
Bushra Ijaz ◽  
Bushra Iftikhar ◽  
...  
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Dental Health ◽  
Positive Association ◽  
Strong Relationship ◽  
Cross Sectional Study ◽  
World Population ◽  
Monthly Income ◽  
Cross Sectional ◽  
Study Population

Background Dental caries in one of the common dental health problem and is affecting approximately 2 billion of world population. The main objective was to assess the frequency and determinants of caries among the study population of Lower Dir District. Methods After taking ethical approval, a cross sectional study was conducted in Lower Dir District, in which a total of n=149 participants were assessed and examined for dental caries, from September 2018 to February 2019. A structured questionnaire was used to collect data regarding dental caries and its determinants. Data was analyzed by SPSS and finally results were presented in form of tables. Results The results showed that 31.54% of the study population has dental caries. Approximately, 59.73% of parents were in age range of 25 to 45 years, 16.78% had monthly income less than 15000 per month, 48.99% were illiterate, and 32.21% had normal BMI. Moreover, 69.13% knew the causes of dental caries, 54.36% parents used fluoride tooth paste, 58.39%, and 44.97% of children used toothbrush & fluoride toothpaste respectively. Furthermore, 70.47% of children had preference for sweet foods, and 54.36% had poor oral hygiene practices. Conclusions It was concluded that dental caries showed moderate to high prevalence among the studied population and showed strong relationship with monthly income, literacy level, and number of children. Moreover, tooth-brushing, fluoride tooth-paste, and their frequency, acute and chronic dental problems, oral hygiene and sweet food preference showed positive association with dental caries among children and thus effective preventive, promotive and curative services were needed to reduce dental caries and its associated complications. Key Words Caries (MeSH), Literacy (MeSH), fluoride (MeSH), Toothbrush (MeSH), Oral Hygiene (MeSH)

scholarly journals Understanding the Effect of COVID-19 Pandemic on Emergency Surgical Care Delivery in India: A Multicenter Cross-Sectional Study

2020 ◽  
Author(s):  
Anita Gadgil ◽  
Geetu Bhandoria ◽  
Monty Khajanchi ◽  
Bhakti Sarang ◽  
Deepa Kizhakke Veetil ◽  
...  
Keyword(s):  
Health Care Services ◽  
Emergency Services ◽  
Care Delivery ◽  
Surgical Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
Care Services ◽  
Research Consortium

Abstract Background The ongoing COVID-19 pandemic and subsequent lockdown have adversely affected global health care services to varying extent. Emergency Services were also affected along with elective surgeries, which were deferred to accommodate the added burden of COVID 19 affected patients, on the healthcare systems. We aimed to assess the change in delivery of essential and emergency surgeries due to the pandemic.Methodology A research consortium led by WHO Collaboration Centre (WHOCC) for Research in Surgical Care Delivery in Low- and Middle-Income countries (LMIC), India, conducted this retrospective cross-sectional study with 12 recruited centers. All surgeries performed during the months of April 2020 were compared with those performed in April 2019. These surgeries were stratified into emergency and elective, and further categorized based on NHS surgery prioritization documents. Results A total of 4396 surgeries were performed at these centers in April 2019 and 1216 surgeries were performed in same month during 2020, yielding a fall of 72.3% (1216 /4396).We found a 54% reduction in emergency surgeries and a 91% reduction in the elective surgeries. Number of cesarean sections reduced by 29.7% and fracture surgeries declined by 85.3% Laparotomies and surgeries for local soft tissue infections with necrotic tissue reduced by 71.7% and 69.5% respectively.Conclusion Our study quantifies the effects of COVID 19 pandemic on surgical care delivery in India and documents that the overall surgical volume reduced by three fourths in the pandemic period. Emergency surgeries reduced to half when compared with pre-pandemic period. Cesarean section surgeries were affected the least by pandemic, whereas the fracture surgeries and laparotomies were affected the most.

scholarly journals Place of Birth Inequalities in Dental Care Use before and after the Economic Crisis in Spain

2019 ◽  
Vol 16 (10) ◽  
pp. 1691
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa N. Borrell
Keyword(s):  
Economic Crisis ◽  
Dental Care ◽  
Cross Sectional Study ◽  
Place Of Birth ◽  
Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Binomial Regression ◽  
Before And After

This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in adults aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for the years 2006 (before the crisis), 2014, and 2017 (after the crisis). Log-binomial regression was used to quantify the association between place of birth and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR: 1.36, 95% CI: 1.10–1.67) and Africa (PR: 1.16, 95% CI: 1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants relative to natives, with the greatest probability for those from Africa (PR: 1.71, 95% CI: 1.46–2.01) and Asia (PR: 1.3, 95% CI: 1.23–1.47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

scholarly journals Factors resulting in non-utilization of Antenatal Care Services from Public Sector Hospitals in the rural area of Bahawalpur

2020 ◽  
Vol 11 (3) ◽  
pp. 8-12
Keyword(s):  
Public Sector ◽  
Antenatal Care ◽  
Health Facility ◽  
Care Delivery ◽  
Sampling Technique ◽  
Population Data ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Care Services ◽  
Study Population

Background: Knowledge regarding the factors impeding the using antenatal care would help in effective maternal and child health care delivery. Objective: To enlist the barriers resulting in the non-utilization of antenatal care in public sector hospitals in Bahawalpur. Methodology: This was cross-sectional study conducted in the catchment area of public sector healthcare facilities of Bahawalpur, from 20th February to 20th September 2019. The study population comprised of 152 females of childbearing age selected by systematic multistage random sampling technique. A pre-designed and pre-structured questionnaire was the tool for data collection from the study population. Data were analyzed using SPSS version 20. Results: Non-utilization of antenatal care services was found in 44% of women. Barriers resulting in non-utilization of antenatal care were found to be as follows; permission not granted by husband in 25.37%, no awareness about the availability of health services in 17.91%, the distance of the residence from a health facility in 14.93%, no awareness about the existence of health facility in 13.43%, unavailability of medicines in 11.94%, unavailability of staff in 8.96% and unfriendly staff in 7.46% women. Conclusion: This study concluded that the main barriers experienced by consumers of public sector antenatal care services were permission not granted, distance from the residence, and awareness regarding health facility.

scholarly journals Socio-demographic Characteristics of Depressive Illness Patients Attending a Selected Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 178-180
Author(s):  
Md Abdul Hamid ◽  
Md Mahbubur Rahman ◽  
Md Rafiqul Islam ◽  
Sheikh Shahidul Islam
Keyword(s):  
Gender Difference ◽  
Care Delivery ◽  
Public Health Problem ◽  
Health Care Delivery System ◽  
Cross Sectional Study ◽  
Depressive Illness ◽  
Child Rearing ◽  
Military Hospital ◽  
Important Public Health Problem ◽  
Cross Sectional

Introduction:Depressive illness is generally not perceived as an important public health problem and is not priority in health care delivery system in Bangladesh. It is the leading cause of disease-related disability in the country today. Gender differences in depression are likely to be result of certain risk factors. Objectives: To find out gender difference in epidemiological and socio-demographic features associated with depressive illness. Materials and Methods: This descriptive cross sectional study was carried out among 91 diagnosed depressive patients attending in the psychiatry department of CMH Dhaka from January to December 2014. The patients were interviewed through an interviewer-administered questionnaire. Data were analyzed by using SPSS version 20.  Chi-square test was used to see the level of significance. Results: In this study the mean age of the patients was 34.47±9.577 years. The study revealed that depressive illness appears to be  more in female during child bearing and child rearing period of 16-39 years and male of 40-63 years were more sufferer than female which was significantly different (p<0.05). In this study 63.74% of patients were female and 36.26% were male with ratio of 1.757:1. It was observed that the association of depression with residence in urban area in female (72.1%) was significantly (p<0.05) higher than male (27.9%) in the same area. This study revealed that the association of depression with history of financial hardship in female was statistically significant (p<0.05) over their male counter-part.The study also revealed that strenuous job was significantly (p<0.05) associated with depression in female than male. Conclusion:  The overall finding of the study indicates that possibility of gender difference in certain epidemiological and sociodemographic features of depressive illness is significantly present. As depressive illness has significant impact on burden of disease and quality of life, this issue needs to be addressed. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 178-180

scholarly journals A study on evaluation of utilization of antenatal care services in a rural area of North Kerala, India

2018 ◽  
Vol 5 (10) ◽  
pp. 4415
Author(s):  
Sateesh B. C. ◽  
Rajeev K. H.
Keyword(s):  
Antenatal Care ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Healthy Baby ◽  
Services Utilization ◽  
Medical College ◽  
The Past ◽  
Care Services ◽  
Structured Questionnaire

Background: Antenatal care is the care of the woman during her pregnancy. The primary aim of antenatal care is to achieve at the end of a pregnancy a healthy mother and a healthy baby National Health Mission mainly aims at reduction in maternal, neonatal, infant mortality and increasing institutional deliveries. This study was conducted to evaluate the antenatal care services utilization in a rural area of North Kerala among the women who delivered in the past six months. The objective of the study was to evaluate the antenatal care services utilization among the women who delivered in the past six months in a rural area of North Kerala.Methods: A cross sectional study was conducted in the rural field practice area of Kannur Medical College, Kannur among women who delivered in the past 6 months by using convenient sampling method. A total of 150 mothers were interviewed using pre-validated, semi structured questionnaire. Descriptive statistics were used to analyze the data.Results: The mean age of the participants was 27.2±3.4 years. About 98% (147) mothers had at least four ANC visits, all mothers had two doses or one booster dose of TT injections and 90% (135) consumed minimum hundred IFA tablets during pregnancy. Around 96% (144) of the mothers have received the full antenatal care during pregnancy.Conclusions: Our study showed that, the full antenatal care services utilization by the mothers is better compared to National and State averages. But there is slightly increased level of delivery by caesarean which is a matter of concern.

scholarly journals Health Service Utilization by Elderly Population in Urban Nepal: A Cross-Sectional Study

2016 ◽  
Vol 2 ◽  
pp. 27-36 ◽  
Author(s):  
L.B. Gurung ◽  
G. Paudel ◽  
U.N. Yadav
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Elderly Population ◽  
Family Income ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Monthly Family Income

Background The elderly population is in increasing trend all over the world. Elderly people experience many physiological, biological and psychological changes. The general objective of the study is to assess the utilization of health care services among the elderly population of Butwal sub-metropolitan city.Methods A quantitative descriptive-cross sectional study, with a total number of 212 elderly people residing in Butwal sub-metropolitan city, was selected for the study purpose. The study period was from March to October 2015. The samples were randomly selected from the sampling frame of 3 different wards of Butwal sub-metropolitan city. Information was collected using an interviewer administered semi-structured questionnaire. Chi-square test was used to identify the factors associated with the utilization of health care services among elderly population.Results Our findings reveal that 84.4% of elderly people visited to the health facility during past 1 year. There were more females (50.9%) than males (49.1%). Majority of elderly people were diagnosed with one of the chronic ailment; were under regular medication. More than 4/5th (84.9%) of older adults rated “satisfactory” to their health condition. Monthly family income, chronic disease, elderly on medication and self-rated health status are statistically significant with utilization of health care services at 95% level of confidence.Conclusions The finding suggests that monthly family income, chronic disease, elderly on medication and self rated health are strongly associated with utilization of health care services by elderly people. Thus the study suggests further interventions to improve the health care service utilization by elderly people.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.27-36

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