scholarly journals COVID-19 Testing: Perceived Barriers Among the Urban Slum Dwellers of Dhaka, Bangladesh

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Robaiyat Sharmin ◽  
◽  
Shahrin Emdad Rayna ◽  
Md Khalequzzaman ◽  
K M Thouhidur Rahman ◽  
...  

Background: Urban slum dwellers are unduly affected by COVID-19, and low testing rates among them are worsening their situation. This study aimed to explore the perceived barriers to COVID-19 testing in the slums, which is crucial to its surveillance, tracking, and allocating resources to combat the pandemic. Methods: A quantitative study with a cross-sectional design was conducted among 149 urban slum dwellers (≥11 years of age), who had previously experienced COVID-19 like symptoms. They were identified from an existing slum cohort at Bauniabadh, Dhaka. Information related to their testing status and perceived barriers was acquired by a telephone survey from October to November 2020. Results: The mean age of the respondents was 34.4±15.6 years, and 58.4% of them were female. Fever (79.2%) and cough (74.5%) were the most common symptoms mentioned. Only 6.7% of the respondents had undergone COVID-19 testing. Fast relief (within 1-3 days) from symptoms (87.6%) was the most prevailing barrier to testing, seen across all age and education groups. Negative advocacy regarding the testing from family and friends (46.7%), participants uncertainty about the guidelines, site, cost, and schedule of testing (15.3%), and a general belief that ‘COVID-19 is not a disease of slum people instead, it is an affliction of the rich folk’ (20.4%), were the other cited barriers. Conclusions: The COVID-19 testing rate remained very low among the urban slum dwellers. To remove the barriers to testing, tailored behavioral change communication and augmenting the resources for testing are necessary to curb the spread in the slums.

2021 ◽  
Author(s):  
Robaiyat Sharmin ◽  
Shahrin Emdad Rayna ◽  
Khalequzzaman ◽  
K M Thouhidur Rahman ◽  
Syed Shariful Islam

Background: Urban slum dwellers are unduly affected by COVID-19, and low testing rates among them are worsening their situation. This study aimed to explore the perceived barriers to COVID-19 testing in the slums, which is crucial to its surveillance, tracking, and allocating resources to combat the pandemic. Methods: A quantitative study with a cross-sectional design was conducted among 149 urban slum dwellers (≥11 years of age), who had previously experienced COVID-19 like symptoms. They were identified from an existing slum cohort at Bauniabadh, Dhaka. Information related to their testing status and perceived barriers was acquired by a telephone survey from October to November 2020. Results: The mean age of the respondents was 34.4±15.6 years, and 58.4% of them were female. Fever (79.2%) and cough (74.5%) were the most common symptoms mentioned. Only 6.7% of the respondents had undergone COVID-19 testing. Fast relief (within 1-3 days) from symptoms (87.6%) was the most prevailing barrier to testing, seen across all age and education groups. Negative advocacy regarding the testing from family and friends (46.7%), participants uncertainty about the guidelines, site, cost, and schedule of testing (15.3%), and a general belief that ‘COVID-19 is not a disease of slum people instead, it is an affliction of the rich folk’ (20.4%), were the other cited barriers. Conclusions: The COVID-19 testing rate remained very low among the urban slum dwellers. To remove the barriers to testing, tailored behavioral change communication and augmenting the resources for testing are necessary to curb the spread in the slums.


2015 ◽  
Vol 3 (2) ◽  
pp. 68-73 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim ◽  
Nasreen Akther ◽  
Meherunnessa Begum ◽  
Nadia Begum

Background: : Slum dwellers are likely to be among the most deprived people in urban areas. Poor hygiene practices and inadequate sanitary conditions play major roles in the increased burden of communicable diseases within developing countries like ours.Objective: To assess the knowledge and practice about personal hygiene and environmental sanitation in selected slums of Dhaka city.Materials and method: This cross sectional study was conducted in purposively selected urban slum areas of Moghbazar slum, Bashabo slum and T&T slum of Dhaka city during February 2014 to April 2014. Convenient sampling technique was applied. Semi-structured pre-tested questionnaire was used and face to face interview was conducted. Total 475 subjects, irrespective of age and sex, were included in this study.Results: Out of 475 respondents, more than fifty percent slum dwellers resided in tin shaded room while 21.7% in ‘kacha’ houses. Sixty six percent of the respondents used to drink water from tube-well and 24% used supplied water provided by the city corporation. The study revealed that near 59% of the respondents used sanitary latrine. About 67% slum dwellers regularly practiced hand washing before taking meal and 59.2% respondents used soap after defecation. About fifty percent respondents brushed their teeth regularly with tooth paste. Regarding personal cleanliness, 81% subjects took bath regularly while 78% washed clothes irregularly. A statistically significant relation was found between washing of hands before meal (p=0.001), washing of hands after defecation (p=0.02), tooth brushing (p=0.001), bathing (p=0.009), washing of cloths (p=0.001), use of footwear (p=0.63) with knowledge of personal hygiene of the slum dwellers.Conclusion: Continuous community hygiene education along with adequate access to water supply and sanitation improves hygiene behaviour and policy makers and health care providers should have definite strategy and implementation.Delta Med Col J. Jul 2015; 3(2): 68-73


Author(s):  
Jyothi Veleshala ◽  
Varun M. Malhotra ◽  
Suresh J. Thomas ◽  
Kondagunta Nagaraj

Background: Reproductive health of adolescent girls is crucial as it determines the health of future generations. School girls when experiencing menarche find themselves in a setting without water, toilets or a supportive female teacher to explain the changes happening in their body. Hence, the present study was conducted to assess knowledge and practices about menstruation in adolescent school girls of an urban slum and to find some socio-demographic determinants of menstrual hygiene.Methods: This was a descriptive cross-sectional study conducted among 6th to 10th class school going adolescent girls from an urban slum of Telangana state. A total of 300 girls participated.Results: The mean age of the students was 11.9±3.3 years. The mean age at menarche was 13.09 (95% CI: 12.07–14.11). 25.3% had acquired prior knowledge about attaining menarche. For majority (74.2%) the knowledge was imparted by their mothers. 96.9% of school girls used sanitary pads. Significant association observed between educational status and employment status of mother and usage of sanitary pads by respondent. Almost 90% of the young women faced physical complaints or health problems during menstruation. Majority (94.3%) had religious restrictions on them during the menstruation.Conclusions: Menstrual hygiene is an issue which needs to be addressed to all adolescents, with special emphasis in slum area. Lack of awareness is a roadblock in adopting safe and hygienic menstrual practices. More emphasis should be given on improving adolescent literacy for achieving hygienic menstrual practices.


Author(s):  
Diah Wulandari ◽  
Mohamad Sulchan ◽  
Syarief Thaufik Hidayat

Background: Angiogenic and antiangiogenic imbalances play a major role in the pathogenesis of preeclampsia. Increased production of sFlt-1 by the placenta causes free circulating PIGF and VEGF concentrations to lower because it is bound by sFlt-1. Measuring levels of angiogenic and antiangiogenic proteins as biomarkers indicates placental dysfunction and distinguishes preeclampsia from other disorders. This study aims to analyze the levels of angiogenic and antiangiogenic molecules in pregnant women at risk for preeclampsia.Methods: The study with a cross-sectional design was carried out in 11-15 weeks gestational age whom had a risk of preeclampsia with 30 samples in primary health care starting April-August 2018. Blood serum was measured by molecular levels of VEGF, PlGF, sFlt-1, and sFlt-1/PlGF ratio using the ELISA method. Data analysis used Pearson product moment test.Results: The mean of VEGF levels are 15.5±21.6, PlGF 89.7±55.5, sFlt-1 11519.4±5126.0 and the ratio sFlt-1/PlGF 166.7±102.1. Correlation value of risk factors for preeclampsia with molecular levels of VEGF r= -0.05; p = 0.76, PlGF r= -0.21; p = 0.26, sFlt r= 0.01; p =0.99 and ratio sFlt-1/PlGF r = 0.10; p = 0.58.Conclusions: The higher the total score of preeclampsia risk factor, the lower the molecular level of VEGF and PlGF is. Moreover, the higher the total score of preeclampsia risk factor, the higher the molecular level sFlt-1 and the sFlt-1/PlGF ratio is. There are no significant correlation between total score of preeclampsia risk factor and levels of molecule VEGF, PlGF, sFlt-1 and sFlt-1/PlGF ratio.


Author(s):  
Dang Thi Hong Khanh ◽  
Nguyen Thi Ut ◽  
Nguyen Thi Chien ◽  
Giang Thi Thanh Ha ◽  
Vu Thi Thuy Linh

Objectives: To measure the waiting time for medical visit at the Outpatient Department 2, NationalChildren’s Hospital in 2018.Study method: Cross sectional design combines quantitative study.Result:The study on waiting time for medical visit of2060 patients showed that: the mean follow- up time was 32.5minutes. Average time for 01 technique was 137 minutes. The median time for medical consultation and 2techniques implemented was 162 minutes. The median time for the medical consultation and 03 techniquesimplemented was 208 minutes. Among sub- clinical techniques, blood test took the maximum time (137minutes).Conclusion: The waiting time for medical consultation was standardized according to the Decision 1313 /QĐ-BYT in 2013; Approximately 70 patients per visit / 8 hours.


2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Agnes Asare Bediako ◽  
Rasheed Ofosu-Poku ◽  
Andrews Adjei Druye

Errors in transfusion of blood and blood products can lead to preventable morbidity and mortality. Nurses constitute a significant aspect of the transfusion process as they are the last in the chain of getting blood directly to the patient. They must, therefore, be conversant with the current standard of national and international guidelines on blood transfusion and appropriate management of adverse transfusion events. This study assesses the knowledge and practices of blood transfusion safety among nurses at Komfo Anokye Teaching Hospital. A descriptive cross-sectional design was employed, and structured questionnaire (Routine Blood Transfusion Knowledge Questionnaire) was used to collect data from 279 nurses from seven clinical directorates of the hospital. The data were processed with Stata version 14.0. Variables were analyzed using descriptive statistics, and relationships were drawn using inferential statistics. Over 90% of the respondents had a minimum of a diploma in nursing or midwifery, 63% had performed blood transfusion at least 5 times, and 46% had never received any training on blood transfusion. The mean score obtained in all four categories of blood transfusion knowledge assessed was 29, with 54% of the respondents scoring below the mean. The highest overall score on knowledge was 53%. This indicates that nurses had poor knowledge regarding safe blood transfusion practices as stipulated in the clinical guidelines for blood transfusion by Ghana’s National Blood Service. There was no statistically significant relationship between training/experience and knowledge of safe blood transfusion practices. Regular and continuous update training and audit are needed to safeguard patient safety during blood transfusion.


2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Berliana Irianti ◽  
Ermawati Ermawati ◽  
Arni Amir

Abstrak Penyebab dismenore belum semuanya diketahui, ada dugaan peningkatan proses peroksida lipid yang akan mengaktivasi mediator inflamasi pada endometrium yang menimbulkan rasa nyeri haid (dismenore). Tujuan penelitian ini adalah menentukan perbedaan kadar malondialdehide dan tromboksan B 2  pada dismenore dan tanpa dismenore. Studi observasional ini menggunakan desain potong lintang komparatif. Subjek penelitian terdiri dari dua kelompok yaitu 23 remaja dismenore dan 23 remaja tanpa dismenore dengan waktu penelitian dari Juni sampai Juli 2014. Analisis sampel dilakukan di Laboratorium Biomedik dan Biokimia Universitas Andalas Padang. Pemeriksaan kadartromboksan B 2  menggunakan metode ELISA dan kadar malondialdehide menggunakan metode Asam Thiobarbiturat (TBA). Hasil penelitian diperoleh bahwa rerata kadar malondialdehid pada remaja dengan dismenore yaitu 2,60±0,63 µmol/ml, rerata remaja tanpa dismenore 1,98±0,12 µmol/ml dengan probabilitas p<0,05 (0,000), sedangkan reratakadar Tromboksan B 2  pada remaja dengan dismenore 20,043±9,56 ng/ml, rerata remaja tanpa dismenore 19,222±10,79 ng/ml, dengan probabilitas p>0,05 (0,786). Kesimpulan penelitian ini adalah terdapat perbedaan yang signifikan rerata kadar malondialdehid pada remaja dengan dismenore dan tanpa dismenore dan tidak terdapatperbedaan signifikan pada kadar tromboksan B 2 pada remaja dengan dismenore dan tanpa dismenore.Kata kunci: remaja, dismenore, malondialdehide, tromboksan B2 Abstract The precise cause of dysmenorrhea is still unclear, there may be increased lipid peroxidation process will activate the inflammatory mediators at endometrium that cause menstrual cramps (dysmenorrhea). The objective of this study was to determine the difference of malondialdehyde levels and thromboxane B 2  levels in dysmenorrhea and without dysmenorrhea. It was an observational study with comparative cross-sectional design. The subjects consisted of two groups, they are 23 adolescent with dysmenorrhea and 23 adolescents without dysmenorrhea, done in Juny -July 2014. Sample analysis was conducted in Laboratory of Biochemistry and Biomedical Laboratory of Andalas University Padang. The examination of Thromboxane B 2  levels used ELISA and the examination of malondialdehyde levels used a Thiobarbituric acid method. The results showed the mean of malondialdehyde levels in adolescents withdysmenorrhea was 2.60±0.63 µmol/ml, the mean level in adolescent without dysmenorrhea was 1.98±0.12 µmol/ml with probability p<0.05 (0.000), while the mean levels of thromboxane B 2  in adolescents with dysmenorrhea was 20.043±9.56 ng/ml, the mean level in adolescent without dysmenorrhea was 19.222±10.79 ng/ml, with probabilityp>0.05 (0.786). It can be concluded that there is a significant difference in the mean of malondialdehyde levels between adolescents with dysmenorrhea and without dysmenorrhea and there is no significant differences in thromboxane B 2 level between adolescents with dysmenorrhea and without dysmenorrheaKeywords: adolescent, dysmenorrhea, malondialdehyde, thromboxane B2


2021 ◽  
Vol 49 (1) ◽  
pp. 57-62
Author(s):  
Nendyah Roestijawati ◽  
Yudhi Wibowo

Cadmium (Cd) is one of the environmental factors that can cause prostate cancer. Cadmium can induces metallothionein (MT) in several tissues that functions to carry out an intracellular detoxification procession by binding to Cd. Exposure of Cd can cause an increase in reactive oxygen species which will cause lipid peroxidation with the end product being malondialdehyde (MDA). The research aims to determine the correlation between MT, MDA and prostate specific antigen (PSA) among auto body repair workers. The study used a cross sectional design involving 32 auto body repair workers and their ages ranged from 18 to 66 years. Measurement of MT, MDA and PSA using the ELISA method. We performed a multiple regression analysis to evaluate the relationships between MT, MDA with PSA for age and other covariates. The mean age of subjects was 38.88 ± 12.82 years. The mean levels of MT was 2.84 ± 1.18 ng/dL, MDA was 8.22 ± 20.06 ng / dL and PSA was 0.86 ± 1.79 ng / dL. The study found that MT (β = 0,232; 95% C.I. 0,202 – 0,503; p= <0,001) and MDA (β = 0.827; 95% CI. 0.065 – 0,083; p=<0,001) significantly predicted PSA. MDA (β = 0.827) has stronger relationship with PSA compared to MT (β =0.232). This results confirmed the role of MT and MDA on PSA synthesis. Metallothionein induce the process of lipid peroxidation with the end product being malondialdehyde (MDA) and increase PSA. Keywords : auto body repair workers, metallothionein, malondialdehyde, prostate Abstrak Kadmium (Cd) merupakan salah satu faktor lingkungan yang dapat menyebabkan kanker porstat. Kadmium dapat menginduksi metalotionin (MT) di beberapa jaringan yang akan berikatan dengan Cd untuk proses detoksifikasi. Pajanan Cd dapat meningkatkan ROS yang akan meyebabkan terjadinya peroksidase lipid dengan hasil akhir malondialdehid (MDA). Penelitian bertujuan untuk mengetahui hubungan antara MT, MDA dan PSA pada pekerja bengkel mobil. Penelitian menggunakan disain kros seksional dengan subyek sebanyak 32 pekerja bengkel mobil yang berusia 18 hingga 66 tahun. Pengukuran MT, MDA dan PSA menggunakan metode ELISA. Analisis statistik menggunakan analisis regresi berganda. Rata-rata usia subyek adalah 38.88 ± 12.82 tahun. Rata-rata kadar MT 2.84 ± 1.18 ng/dL, MDA 8.22 ± 20.06 ng / dL dan PSA 0.86 ± 1.79 ng / dL. Hasil uji didapatkan MT (β = 0,232; 95% C.I. 0,202 – 0,503; p= <0,001) dan MDA (β = 0.827; 95% CI. 0.065 – 0,083; p=<0,001) berpengaruh terhadap PSA secara signifikan. MDA (β = 0.827) mempunyai hubungan dengan PSA yang lebih kuat dibanding MT (β =0.232). Hasil penelitian mengkonfirmasi adanya peran MT dan MDA pada sintesis PSA. MT menginduksi proses peroksidase lipid dengan produk akhir MDA dan meningkatkan kadar PSA. Kata kunci : pekerja bengkel mobil, metalotionin, malondialdehid, prostat


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Inri A. H. Oway ◽  
Sonny J. R. Kalangi ◽  
Taufik Pasiak

Abstract. Background. Triglycerides are a type of fat that can be found in blood which are stored the most in human body. Triglycerides are used as an energy source for various metabolic processes. High levels of triglycerides can lead to various health problems. Elevated triglycerides levels can be caused by various things, such as obesity. Obesity results when fat accumulates in body. Obesity and elevated triglycerides levels can affect human health. Objective. The aim for this research was to compare triglyceride levels of obese 1 and obese 2 students of Faculty of Medicine Sam Ratulangi University. Method. An observational method with cross sectional design research was done to compare triglyceride levels in obese 1 and obese 2 students of Faculty of Medicine Sam Ratulangi University  academic year 2010 and 2011. In the number of 49 people, (30 people were obese 1 and 19 people were obese 2). The data were analyzed using SPSS, test of hypothesis used Mann Whitney.  Result. The mean values of triglyceride levels in obese 1 students were 69,00 mg/dL and in obese 2 students were 85,53 mg/dL. Conclusion. There were significant differences on triglyceride levels in obese 1 and obese 2. Keyword: fat, obesity, triglyceride.   Abstrak. Latar Belakang. Trigliserida merupakan jenis lemak yang paling banyak pada tubuh manusia dan dapat ditemukan dalam darah. Trigliserida berguna sebagai sumber energi untuk berbagai proses metabolik tubuh. Akan tetapi jika kadar trigliserida terlalu tinggi maka dapat menimbulkan berbagai masalah kesehatan. Peningkatan kadar trigliserida dapat disebabkan oleh berbagai hal, salah satunya karena obesitas. Obesitas terjadi karena peningkatan akumulasi lemak dalam tubuh. Obesitas dan peningkatan kadar trigliserida dapat mempengaruhi tingkat kesehatan seseorang. Tujuan. Penelitian ini bertujuan untuk membandingkan kadar trigliserida pada mahasiswa obes 1 dan obes 2 Angkatan 2010 dan 2011 di Fakultas Kedokteran Universitas Sam Ratulangi. Metode. Penelitian ini dilakukan dengan metode observasional dan desain studi cross sectional untuk membandingkan kadar trigliserida pada mahasiswa obes 1 dan obes 2 Angkatan 2010 dan 2011 di Fakultas Kedokteran Universitas Sam Ratulangi. Jumlah sampel pada penelitian ini sebanyak 49 orang yang terdiri dari 30 orang obes 1 dan 19 orang obes 2. Analisis data dilakukan dengan menggunakan SPSS dan uji hipotesis menggunakan Uji Mann-Whitney. Hasil. Kadar trigliserida rata-rata pada obes 1 sebesar 69,00 mg/dL dan kadar trigliserida rata-rata pada obes 2 sebesar 85,53 mg/dL. Kesimpulan. Secara statistik terdapat perbedaan bermakna kadar trigliserida pada obes 1 dan obes 2. Kata Kunci: lemak, obesitas, trigliserida.


e-GIGI ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Princess Keloay ◽  
Christy N. Mintjelungan ◽  
Damajanty H. C. Pangemanan

Abstract: In Indonesia, children dental and mouth health is on the apprehensive level. The caries prevalence in children of 5 to 9 years old is 92.6% and the proportion of brushing their teeth properly is only 1.4%. The control and prevention of plaque forming can be done in a simple, effective, and practical way through brushing the teeth thoroughly and regularly. This study was aimed to obtain the tooth brushing technique and plaque index among students at SD GMIM Siloam Tonsealama (elementary school). This was a descriptive study with a cross sectional design. Study population consisted of elementary students og grade 3 to 5. We used total sampling method. There were 42 students as subjects. Data were obtained by observing their tooth brushing techniques. The results showed that all students used combination technique of tooth brushing. Most students had plaque index of moderate category. The mean plaque index of the subjects was 2.67. In conclusion, students at GMIM in Tonsealama used combination technique of tooth brushing, and their plaque index was categorized as moderate.Keywords: plaque index, brushing teeth technique Abstrak: Kesehatan gigi dan mulut anak di Indonesia masih sangat memrihatinkan. Prevalensi karies pada anak usia 5-9 tahun dilaporkan mencapai 92,6%, dan proporsi waktu menyikat gigi dengan benar sebesar 1,4%. Usaha untuk mengontrol dan mencegah pemben-tukan plak dapat dilakukan secara sederhana, efektif, dan praktis yaitu dengan cara menggosok gigi secara teliti dan teratur. Penelitian ini bertujuan untuk mengetahui gambaran teknik menyikat gigi dan indeks plak siswa SD GMIM Siloam Tonsealama. Jenis penelitian ialah deskriptif dengan desain potong lintang. Populasi penelitian terdiri dari siswa sekolah dasar kelas 3 sampai dengan 5. Pengambilan sampel menggunakan total sampling. Terdapat seba-nyak 42 siswa sebagai subyek penelitian. Pengumpulan data menggunakan formulir pemeriksaan. Hasil penelitian menunjukkan bahwa teknik menyikat kombinasi digunakan oleh seluruh subyek. Indeks plak paling banyak pada kategori sedang. Rerata nilai indeks plak yaitu 2,67. Simpulan penelitian ini ialah teknik menyikat gigi yang digunakan oleh siswa SD GMIM di Tonsealama ialah teknik kombinasi dengan indeks plak tergolong kategori sedangKata kunci: indeks plak, teknik menyikat gigi


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