scholarly journals Socio-cultural factors associated with morbidity and mortality: A study from Eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 114-128 ◽  
Author(s):  
Nilambar Jha ◽  
S Bhattarai ◽  
SN Niraula

Background: Today there has been a change in the perception of disease from germ theory to the involvement of multiple factors in the causation.Methods: With this notion, this cross sectional study made an effort to delineate the socio-cultural factors associated with health in six teaching districts of B.P. Koirala Institute of Health Sciences in the Eastern region of Nepal among the mothers of reproductive age surveying 1985 households.Results: This study revealed association of chronic disease and acute illness with various socio-demographic variables like religion, ethnicity, family size, number of children, respondent’s literacy and occupation. Number of jobholders in the family and poverty line were found to be associated with acute illness. Treatment of shaman healers and restrictions during pregnancy period showed association with health inequalities. Mortality in the family was associated with ethnicity, number of children, and literacy of respondent.Conclusion: As a consequence of these associated factors, the effective utilization of the modern health facilities may not be proper which may lead to ill health consequences. Multifaceted development program from the government along with effective awareness program can help out the people to combat the evil of health life. Health Renaissance 2015;13 (3): 114-128

Author(s):  
Achmadi S Nugroho ◽  
Azhari Azhari ◽  
Awan Nurtjahyo ◽  
Theodorus Theodorus

Objective:To assess factors associated withselection of contraceptive sterilization in reproductive age couples in Dr. Mohammad Hoesin Palembang hospital in the era of BPJS. Methods: This cross sectional study was conducted between January - December 2017. Study sample was reproductive age couples (RAC) who were married and came to P2 UGD, maternity room and midwifery ward of Dr. Mohammad Hoesin Palembang hospital and metour inclusion criteria. All study participants were given a questionnaire to assess factors that influence selection of contraceptive methods in women. Data were analyzed using SPSS software version 17. Results: We found a significant relationship between number of children (PR = 3,988; p = 0.016), knowledge level (PR = 3,893; p = 0,024) and husband support (PR = 5,233; p = 0.009) with sterilization contraceptive selection. In addition, there were no significant correlation between age (PR = 2,311, p = 0,210), education level (PR = 1,893, p = 0,331), woman attitude (PR = 1,567, p = 0,758), availability of contraception ( (PR = 1,969, p = 0,342), officer attitude (PR = 1,088, p = 0,000) and information given by officer (PR = 1,378; p = 0,719) 1,310; p = 0.802) with selection of sterilization. With logistic regression test, we found that husband support was the most important factor to selection of sterilization contraception (PR = 4,266, p = 0,040) followed by knowledge (PR = 3,620, p = 0,041). Conclusion:Sterilization selection in reproductive age couples at Dr. Mohammad Hoesin Palembang Hospitalis influenced by female knowledge and husband support. Keywords:sterilization, tubal ligation, vasectomy, reproductive age couple


Author(s):  
Yuan Fang ◽  
Amy van Grieken ◽  
Irene N. Fierloos ◽  
Dafna A. Windhorst ◽  
Harrie Jonkman ◽  
...  

Abstract Background A high parenting self-efficacy (PSE) has been associated with positive parenting and positive child development. However, there is limited and inconsistent information on factors associated with PSE. Objective To investigate factors associated with PSE in parents of children aged 0–7 years old, and to explore whether the associations were different between mothers and fathers. Methods We performed a cross-sectional analysis of the baseline data from a prospective cohort study: the CIKEO study. A total of 1012 parents (mean age = 33.8, SD = 5.0) completed self-reported measure of PSE and 18 potential factors associated with PSE. Results Multivariable models revealed that lower parenting stress, fewer child behavior problems, better eating behavior, better parental and child general health, a smaller number of children living in the household, higher perceived level of social support and having a migration background were associated with higher levels of PSE (p < 0.05). The association between family functioning and PSE differed between mothers and fathers (p for interaction = 0.003): with beta and 95% confidence interval being: 1.29 (− 2.05, 0.87), and 0.23 (− 0.46, 3.29), respectively. Conclusions A range of parental, child and social-contextual factors in relation to PSE were identified. The patterns of associations for most of the factors were similar among mothers and fathers. However, the association between family functioning and PSE might differ for mothers and fathers. Our findings are relevant for tailoring and implementing successful interventions and effective policy making in child care. Trial registration Netherlands National Trial Register number NL7342. Date of registration: 05-November-2018, retrospectively registered.


2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Medhin Girmay Reda ◽  
Girma Tenkolu Bune ◽  
Mohammed Feyisso Shaka

Background. High fertility remains one of the most important public health issues hampering the health and welfare of mothers and the survival of their children in developing nations. In Ethiopia, the high fertility rate has been seen for a long historical period with some pocket areas of high fertility still showing poor improvement. Hence, this study was aimed at determining the magnitude of high fertility status (number of children ever born alive≥5) and associated factors among women of the reproductive age group in Wonago district. Methods. A community-based cross-sectional study was conducted on randomly selected 512 women in Wonago district. Data were collected using a pretested structured interviewer administered questionnaire. Data was entered into EpiData version 3.1 and then analyzed by SPSS version 25. Logistic regression was used to analyze the data, and the adjusted odds ratio with the 95% confidence interval was computed, and a significant association was declared at p value ≤ 0.05. Result. This study revealed that 354 (69.1%) of the respondents have high fertility. High fertility is independently associated with residing in rural area [AOR=4.88, 95% CI: 3.21, 7.86], desire for children [AOR=6.97, 95% CI: 3.24, 11.40], history of under-five child mortality [AOR =5.32, 95% CI: 2.59, 8.43], poor knowledge of contraception [AOR=2.67, 95% CI: 1.66, 4.04], and low wealth tertile [AOR=2.21, 95% CI: 1.51, 3.58]. On the other hand, women with age at first birth above 18 years [AOR=0.34, 95% CI: 0.17, 0.68] and those with birth interval≥24 months [AOR=0, 26, 95% CI: 0.14, 0.49] were less likely to have high fertility. Conclusion and Recommendation. The substantial number of women in the study area has high fertility status far away from the country’s costed implementation plan of reducing the total fertility rate to 3.0. Considering these, much is needed to be done among poor, rural residents, who have not yet attained their desired number of children, and on enhancing the knowledge of mothers towards contraceptive methods.


2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Djibril M Ba ◽  
Paddy Ssentongo ◽  
Muzi Na ◽  
Kristen H Kjerulff ◽  
Guodong Liu ◽  
...  

ABSTRACT Background Universal salt iodization (USI) is the most feasible and cost-effective, and equitable, approach to prevent iodine deficiency. Severe maternal iodine deficiency during pregnancy is associated with serious adverse gestational and birth outcomes. Objectives The aim was to assess iodine status and identify independent factors associated with urinary iodine concentration (UIC) among women of reproductive age in Tanzania. Methods This was a weighted, population-based, cross-sectional study in 2985 women of reproductive age (20–49 y) in Tanzania who participated in the Demographic and Health Surveys in 2015–2016 (DHS 2015–2016) and had measured UIC. Multivariable generalized linear regression was used to identify potential factors that were associated with UIC. Results The median UICs among women consuming inadequately iodized salt (93.6 μg/L; 25th and 75th percentiles: 43.1, 197.9 μg/L) and women in the lowest socioeconomic status (92.3 μg/L; 45.6, 194.4 μg/L) were below the WHO-recommended ranges (≥150 μg/L for pregnant women and ≥100 μg/L for nonpregnant women). The results of multivariable models indicated that pregnant women had 1.21 μg/L lower UIC than nonpregnant women (β = −1.21; 95% CI: −3.42, −0.12), breastfeeding women had 1.02 μg/L lower UIC than nonbreastfeeding women (β = −1.02; 95% CI: −2.25, −0.27), and women with no education had a 1.88 μg/L lower UIC compared with those with secondary/highest education (β = −1.88; 95% CI: −4.58, −0.36). Women consuming inadequately iodized salt had 6.55 μg/L lower UIC than those consuming adequately iodized salt (β = −6.55; 95% CI: −9.24, −4.33). The median UIC varied substantially across geographic zones, ranging from 83.2 μg/L (45.9, 165.3) in the Western region to 347.8 μg/L (185.0, 479.8) in the Eastern region. Conclusions Our findings indicated a great heterogeneity in median UIC across regions of Tanzania among women of reproductive age. Poverty, consuming inadequately iodized salt, and lack of education appeared to be the driving factors for lower UIC in Tanzania.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jutatip Jamnok ◽  
Kanokwan Sanchaisuriya ◽  
Pattara Sanchaisuriya ◽  
Goonnapa Fucharoen ◽  
Supan Fucharoen ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
pp. 62-66
Author(s):  
Yuni Handayani

Immunization has proven to be one of the most important public health efforts. Immunization programs shown remarkable success funds are a very cost-effective effort in preventing infectious diseases. Immunization is influenced by several factors, including knowledge level, mother’s age, education level, occupation, number of children and family support. This aims to analyze the Relationship of Family Support with the completeness of Basic Immunization Balita in Village Mumbulsari of Sub-districts Mumbulsari - Jember. In 2015, East Java accounted for the largest diphtheria cases (63%) and has not met the target of SPM (Minimum Service Standards). According to the health profile of jember district 2014 Of 49 health centers, there are 4 other health centers that have not reached the target of UCI are Kalisat health center (92%), Pakusari (86%), Bangsalsari (86%) and Mumbulsari (75%). This research design use correctional with Cross Sectional approach.Population 90 mothers who have children under the age of two years.After slovin formula obtained 73 respondents as sample by using simple random sampling technique. The result showed Basic Immunization of complete 53 (73%) and Basic Immunization of  incomplete 20(27%), good family support 58(79,5%),  less family support 15 (20,5%). Data analysis test using Spearman Rank with p-value 0,000 <α 0,05 which means there is a Family Support Relationship with Basic Immunization Equipment Balita. It is recommended that the next community who have a child under two years give family good support to basic immunization for granting mothers complete.


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