How does social/community mobilisation plan to encourage health seeking behaviour can help mitigate AES related mortality and morbidity in Muzaffarpur district of Bihar, India- An intervention plan approach

2021 ◽  
Author(s):  
Piyush Kumar

ABSTRACT Background: I am pleased to present social/ community mobilization plan for encouraging health seeking behaviour by communities of muzaffarpur district for recurring outbreaks of acute encephalitis syndrome. The recurring outbreaks have taken lives of so many children and a sense of fear is prevailing in the district particularly rural areas. The SCMP plan will be of great help in such situations added with clinical care. The state government and other concerned authorities have made several program cycles which are very intensive and satisfactory but the problem still persist. Objectives: The main objectives and aim is to build new thinking around social & community mobilisation plan (SCMP) to deal with the situation. This plan can be useful for many other situations also if prosecuted in proper way. The SCMP plan application needs integrated approach with community and different sectors involvement to deal with the issue of AES outbreaks. It also involves community training to enhance health seeking behaviour of communities to healthcare. This will prevent delay in reaching at proper time, at proper health facility for proper care. Setting & Design: The spread of technologies enable us to leverage and design transmedia initiatives to resonate key message across relevant audience. Knowledge and evidence based facts will serve as backbone to guide through the principles of SCMP. Materials and methodology SCMP knowledge if disseminated in proper way to communities through seminars, media will prove a milestone in public health strategy to deal with AES and many other diseases. The drive and commitment of SCMP programme will definitely have a positive impact on lives and well being of children’s. Results: Since this is an intervention plan the results will be available only if this intervention plan gets ethical approval, adoption and green signal from policy makers and concerned authorities for implementation. Conclusion: It’s my conclusion as well as recommendation that if clinical approaches (medicine and surgery) are unable to solve the healthcare problems we should look at community approach to deal with situations like AES at muzaffarpur, Bihar, India. The world population is growing every second and it’s quite difficult to cater the needs of healthcare on individual basis. Hence advocacy for social and community mobilisation to improve health seeking behaviour should be considered strongly to cater the needs of community.Key words- SCMP, AES, community, mobilisation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ransford Kwaku Afeadie

PurposeThe health challenges that characterise most of the migrants' urban slums raises a lot of concern for their well-being. Health-seeking behaviour becomes an important step towards maintaining a healthy life. The importance of contextual issues is necessary to help meet specific community health needs and programmes. Therefore, this study aims to bridge the knowledge gap by investigating health-seeking behaviour disparity among rural–urban labour migrant's slum dwellers before and after migration to the urban slums of Madina in the Greater Accra Region, Ghana.Design/methodology/approachThe author used explanatory sequential approach of research investigation. Questionnaire and interview guides were used to collect data from the respondents however, in the absence of an existing reliable sampling frame, the various communities were selected by the use of cluster sampling proportional to size. At the second stage, a simple random sampling was used to select the various household heads. A total of 241 questionnaires were retrieved from the respondents representing a response rate of 100%. The author used purposive sampling technique to conduct eight in-depth interviews and six key informants' interviews.FindingsThe author found various discrepancies in many of the activities that could fulfil substantial health-seeking behaviour in the slum as compared to migrant's places of origin. The reason for coming to the slum amidst many settlements needs and low education background are the factors that accounted for this. This study, therefore, contradicts the proposition held by the health belief model. It is, therefore, important to note that contextual issues are key, in this case, rural–urban migrant slums present a different dynamic that must be taken into account when designing health programmes for such settings.Originality/valueMany, if not all the, studies on health-seeking behaviour have focused on urban slums without taking into account urban migrants' slums. Such a failure to take into account the variations of the health needs of migrants' urban slum settings can eventually lead to a mismatch of health programmes meant to address their challenges. Therefore, this study brings to the fore such variations that must be taken into account when designing health programmes. The study also indicates that even with the same people, there were disparities in terms of health-seeking behaviour in the slum and at places of origin.


2012 ◽  
Vol 30 (20) ◽  
pp. 2538-2544 ◽  
Author(s):  
Andrea C. Phelps ◽  
Katharine E. Lauderdale ◽  
Sara Alcorn ◽  
Jennifer Dillinger ◽  
Michael T. Balboni ◽  
...  

Purpose Attention to patients' religious and spiritual needs is included in national guidelines for quality end-of-life care, but little data exist to guide spiritual care. Patients and Methods The Religion and Spirituality in Cancer Care Study is a multi-institution, quantitative-qualitative study of 75 patients with advanced cancer and 339 cancer physicians and nurses. Patients underwent semistructured interviews, and care providers completed a Web-based survey exploring their perspectives on the routine provision of spiritual care by physicians and nurses. Theme extraction was performed following triangulated procedures of interdisciplinary analysis. Multivariable ordinal logistic regression models assessed relationships between participants' characteristics and attitudes toward spiritual care. Results The majority of patients (77.9%), physicians (71.6%), and nurses (85.1%) believed that routine spiritual care would have a positive impact on patients. Only 25% of patients had previously received spiritual care. Among patients, prior spiritual care (adjusted odds ratio [AOR], 14.65; 95% CI, 1.51 to 142.23), increasing education (AOR, 1.26; 95% CI, 1.06 to 1.49), and religious coping (AOR, 4.79; 95% CI, 1.40 to 16.42) were associated with favorable perceptions of spiritual care. Physicians held more negative perceptions of spiritual care than patients (P < .001) and nurses (P = .008). Qualitative analysis identified benefits of spiritual care, including supporting patients' emotional well-being and strengthening patient-provider relationships. Objections to spiritual care frequently related to professional role conflicts. Participants described ideal spiritual care to be individualized, voluntary, inclusive of chaplains/clergy, and based on assessing and supporting patient spirituality. Conclusion Most patients with advanced cancer, oncologists, and oncology nurses value spiritual care. Themes described provide an empirical basis for engaging spiritual issues within clinical care.


Author(s):  
Rama Singodiya Lodha ◽  
Dinesh Kumar Pal ◽  
Shipra Verma ◽  
Veena Melwani ◽  
Amreen Khan ◽  
...  

Background: Under 5 mortality rate is considered as the best indicator of social development and well being. Low U5MR indicates better social development as children are most vulnerable during the first 5 years. Almost 1/3rd die of infectious cause, nearly all of which are preventable.Methods: A cross- sectional interventional study was done on 105 mothers with children under the age group of 5 years. Knowledge and practice about diarrhoea, pneumonia and immunization was assessed first followed by and educational intervention which was later followed by post intervention interview of the same mothers after a gap of 1 month. The increment in the knowledge was then assessed.Results: 41.9% belonged to the age group of 20-25 years. 94.11% of the mothers knew what diarrhoea is and only 47.61% could tell minimum 3 signs of dehydration. 32.38% could tell the specific signs of pneumonia. 90.47% mothers knew that immunisation prevents children from diseases. The overall knowledge scores improved significantly (p<0.0001) after a gap one month.Conclusions: The knowledge appeared to improve significantly after an education intervention. The immunization coverage was found to be adequate. 


2018 ◽  
Vol 2 (2) ◽  
pp. 88-93
Author(s):  
Md. Abu Jafar Sujan ◽  
Muhammad Tareque Hasan ◽  
Bikash Chandra Sah ◽  
Md. Al Amin Khan ◽  
Ishraque Chowdhury ◽  
...  

2020 ◽  
pp. 71-80
Author(s):  
Olesya Tomchuk

The article highlights the problems and prospects of human development, which is the basis for the long-term strategies of social and economic growth of different countries and regions at the present stage. Submitting strategies of this type provides an opportunity to focus on individual empowerment and to build a favorable environment for effective management decisions in the field of forming, maintaining, and restoring human potential. The analysis of the Vinnytsia region human potential dynamics in the regional system of social and economic development factors was carried out. Application of generalized assessment of the regional human development index components allowed the identification of the main trends that characterize the formation of human potential of the territory, including the reproduction of the population, social environment, comfort and quality of life, well-being, decent work, and education. The article emphasizes that despite some positive changes in the social and economic situation of the region and in assessing the parameters of its human development level relative to other regions of Ukraine, Vinnytsia region is now losing its human potential due to negative demographic situation and migration to other regions and countries. The main reason for such dynamics is proven to be related to the outdated structure of the region's economy, the predominance of the agricultural sector, the lack of progressive transformations in the development of high-tech fields of the economy. An important factor is the low level of urbanization of the region, which leads to the spread of less attractive working conditions and less comfortable living conditions. The key factors that cause the growth of urbanization in the region have been identified, including the significant positive impact of the transport and social infrastructure expansion, the lack of which in rural areas leads to a decrease in the level and comfort of life. Without progressive structural changes in the economy and the resettlement system, the loss of human potential will continue.


Author(s):  
Ipseeta Satpathy ◽  
B. Chandra Mohan Patnaik ◽  
Chandrabhanu Das

The existence of Yoga dates back to more than ten thousand years around India and all nations. The Hindu Mythology considers the genesis of Yoga by incorporating Lord Shiva as Guru and Goddess Parvati as Shishya. Gradually with the development of civilization mankind assessed the benefits of this spiritual discipline and different leaders propagated the Yoga in different ways.In this era of 21st century Baba Ramdev propagated the yoga sutras with simple and effective techniques. The Pranayam and Suryanamaskar are the popular routines practiced by many followers of Baba Ramdev. Today Yoga is practiced as a way of Living to prevent Lifestyle diseases, combat stress and rejuvenate self. Yoga has gained immense popularity over the years with July 21st being celebrated as International Yoga Day. Corporate are also now introducing Yoga for employees as a means to relieve their stress and improve productivity. Long Hours of sitting, standing and excessive use of electronic gadgets puts pressure on bones, joints and responsible for Lifestyle diseases. Yoga is now increasingly used as a wellness solution replacing high cost antibiotic drugs. Employee well-being leads to Cost Savings in terms of personnel by reduced payment of Insurance and Medical Bills. The paper studies the Impact of Yoga to Financial benefits in MSME Organizations in Odisha in light of three different perspectives of Internal Control, Inventory management and Cash Flow. The primary data was collected from a sample of 155 high profile finance executives working in the MSME sector. Ranking Table and Regression Analysis Methodology was used to derive meaningful conclusions. The research takes initiative to transform the effectiveness of Yoga into improved financial health for the Organization. The observation from the study interprets a positive impact of Yoga on good financial health of Organization.


Thorax ◽  
2020 ◽  
pp. thoraxjnl-2020-215338
Author(s):  
Jamilah Meghji ◽  
Stefanie Gregorius ◽  
Jason Madan ◽  
Fatima Chitimbe ◽  
Rachael Thomson ◽  
...  

BackgroundMitigating the socioeconomic impact of tuberculosis (TB) is key to the WHO End TB Strategy. However, little known about socioeconomic well-being beyond TB-treatment completion. In this mixed-methods study, we describe socioeconomic outcomes after TB-disease in urban Blantyre, Malawi, and explore pathways and barriers to financial recovery.MethodsAdults ≥15 years successfully completing treatment for a first episode of pulmonary TB under the National TB Control Programme were prospectively followed up for 12 months. Socioeconomic, income, occupation, health seeking and cost data were collected. Determinants and impacts of ongoing financial hardship were explored through illness narrative interviews with purposively selected participants.Results405 participants were recruited from February 2016 to April 2017. Median age was 35 years (IQR: 28–41), 67.9% (275/405) were male, and 60.6% (244/405) were HIV-positive. Employment and incomes were lowest at TB-treatment completion, with limited recovery in the following year: fewer people were in paid work (63.0% (232/368) vs 72.4% (293/405), p=0.006), median incomes were lower (US$44.13 (IQR: US$0–US$106.15) vs US$72.20 (IQR: US$26.71–US$173.29), p<0.001), and more patients were living in poverty (earning <US$1.90/day: 57.7% (211/366) vs 41.6% (166/399), p<0.001) 1 year after TB-treatment completion compared with before TB-disease onset. Half of the participants (50.5%, 184/368) reported ongoing dissaving (use of savings, selling assets, borrowing money) and 9.5% (35/368) reported school interruptions in the year after TB-treatment completion. Twenty-one participants completed in-depth interviews. Reported barriers to economic recovery included financial insecurity, challenges rebuilding business relationships, residual physical morbidity and stigma.ConclusionsTB-affected households remain economically vulnerable even after TB-treatment completion, with limited recovery in income and employment, persistent financial strain requiring dissaving, and ongoing school interruptions. Measures of the economic impact of TB disease should include the post-TB period. Interventions to protect the long-term health and livelihoods of TB survivors must be explored.


2021 ◽  
Vol 13 (8) ◽  
pp. 4372
Author(s):  
Abdullah Addas ◽  
Ahmad Maghrabi

Public open spaces services have been shown to be profoundly affected by rapid urbanization and environmental changes, and in turn, they have influenced socio-cultural relationships and human well-being. However, the impact of these changes on public open space services (POSS) remains unexplored, particularly in the Saudi Arabian context. This study examines the socio-cultural influence of POSS on the King Abdulaziz University campus, Jeddah, Saudi Arabia and the impact of these services on well-being. A field survey and questionnaire were used to collect data. Non-parametric tests (Kruskal–Wallis and Mann–Whitney tests) were used to find significant differences in the importance of POSS as perceived by stakeholders based on socio-demographic attributes. Factor analysis was performed for 14 POSS to identify those that are most important. The study showed that (i) university stakeholders are closely linked to services provided by public open spaces (POS) and dependent on POSS, (ii) there were significant differences in the perceived importance of POSS according to gender, age, and social groups, and (iii) 70 to 90% of stakeholders reported POSS as having a positive impact on well-being. Thus, the findings will help design and plan POSS to meet the needs of society and promote well-being.


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