scholarly journals HIV/TB co-infection and availability of health services in relation to socio-economic status

2018 ◽  
Vol 4 (1) ◽  
pp. 27-36
Author(s):  
Bhim Bahadur Subba ◽  
Nirmal Rimal

  The human immunodeficiency virus (HIV) pandemic disproportionate affects especially less developed countries and underprivileged communities. HIV weakens immune system of infected individuals and making them more susceptible to tuberculosis (TB) infection. Both HIV and TB disease are supposed to fuel each other socially and biologically and it is further fuelled by such as poor accessibility to services, illiteracy, stigma and discrimination all these factors have pushed Nepal into more vulnerability. This article aimed to find out the availability and accessibility to the HIV/TB services in relation to socio-economic status of respondents. A cross sectional study was conducted at four HIV care and prevention centers of different non-governmental organizations (NGOs) of Nepal. In the study, 51 samples were selected using random sampling procedures who gave consent to the interview. A pre-tested semi-structured questionnaire was used to collect data. Confidentiality was highly maintained and data were analyzed. The result showed mean age of respondents’ was 36.38 years. The pre-dominant 96.1 percent of respondents were from 18-54 years of age. Respondents from all socio-economic status almost two-third indented to use government hospital than private HIV/TB services. The majority 98.0 percent of HIV infected respondents belonged to destitute to better off economic status and they were further disadvantaged by lack of knowledge and information of HIV/TB services such cluster of differentiation 4 (CD4) and viral load service.

2020 ◽  
Vol 11 (2) ◽  
pp. 134-139
Author(s):  
Kusum Bharti ◽  
Manoj Kumar ◽  
Pramila Prasad

The present status of nutrition disparities in Asia is considered to vary by economic level of the country. For developing countries in Asia, India and Vietnam, SES associates with BMI positively in women. For relatively developed countries in Asia, Korea and Japan, SES associates with BMI negatively in women. Low SES groups consume more carbohydrate, and less protein and fat, so not only micronutrient but also macronutrient intake is affected by SES both in developing and in developed Asian countries. There are some studies on the pathway from SES to diet/nutrition. Objective: To assess the impact of socio-economic status (SES) and nutrition health education (NHED) on their Nutritional status of non-school going and school going AGLs. Method: A pre test post test experimental design questionnaire was employed and the study was a cross sectional study. From 4ICDS Project areas of Banka district, total 600 Adolescents girl selected for this research study in which 300 school going and 300 non-school going girls were randomly selected. Result: AGLs clearly shows the declining trend of malnutrition with the increasing education of mothers, i.e. Highest per cent of undernourished AGLs were the daughters of Illiterates mothers (98%) and lowest per cent of undernourished AGLs were the daughters of intermediate mothers and graduate mothers.The per cent of normal AGLs was highest with the highly educated fathers lower with poorly educated and lowest with illiterate fathers. The prevalence of normal AGLs was higher with better income though their number is less. But even the little increase of income has shown the better performance. However, the data confirms, the effect of income on nutritional status of AGls.


2017 ◽  
Vol 3 (2) ◽  
pp. 320-323
Author(s):  
Samar Hossain ◽  
Sharma Priyanka ◽  
Talib Hossain ◽  
Surendra Mohan Mathur

Objective: The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. The study was done to find the the prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors. Materials and Methods: School based cross sectional study carried out over a period of 4 months in three schools of East Delhi. The study was carried out in 629 school children of 10–18 years of age and belonging to different socioeconomic statuses in schools in East Delhi. The obesity and overweight were considered using an updated body mass index reference. A pre-tested questionnaire was used to determine the Socio-economic status and life style factors. Results: The prevalence of overweight among children was higher in middle socioeconomic status groups as compared to high socioeconomic class in both boys and girls whereas the prevalence of obesity was higher in high Socio economic status group as compared to middle socioeconomic group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Conclusion: The findings of this study suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.


2018 ◽  
Vol 95 (5) ◽  
pp. 682-690 ◽  
Author(s):  
M. Asadi-Lari ◽  
Y. Salimi ◽  
M. R. Vaez-Mahdavi ◽  
S. Faghihzadeh ◽  
A. A. Haeri Mehrizi ◽  
...  

2020 ◽  
Vol 01 (01) ◽  
pp. 009-012
Author(s):  
Laudari S

Background and Aims: Secondary prophylaxis has remained the mainstay of rheumatic fever and rheumatic heart disease management. Despite the proven ef􀏐icacy and superiority of injectable penicillin in rheumatic heart disease patients, it has been underused in Nepal. Materials and Methods: This is a hospital based cross-sectional study during June 2014 to October 2018 over a period of 52 months at College of Medical Sciences-Bharatpur including 350 patients with clinical and/or echocardiographic evidence of de􀏐inite rheumatic heart disease. Data was collected from both cardiology outpatients and inpatients (admitted in cardioward/coronary care unit). Relevant data and information were entered into the pre-structured proforma and then analyzed by SPSS-16 software. Results: The age of the patients ranged from 6 to 80 years with mean age 36.76±4.6years with female preponderance (F:M=1.26:1). The predominantly involved isolated valve was mitral in 152 patients (44.43%) followed by aortic valve in 70 patients (20.00%) and rest 90 (25.71%) had dual valvular involvement. The common complications encountered were heart failure in 200(57.14%) and arrhythmias in 155(44.29%) patients. Two hundred ten (60.00%) of the patients received penicillin (oral and injectable) and erythromycin. Majority 180/210=85.71%) were prescribed on oral penicillin whereas only 46/210=21.90% received injectable penicillin; the ratio being 3.35:1. Conclusion: RHD is a leading cause of heart failure and death among young population. There is underuse of penicillin with very minimal focus on use of injectable penicillins currently. Hence, Nepal government and other non-governmental organizations should consider implementation of use of penicillin broadly and moreover focus on use and adherence of injectable penicillin. Keywords: Rheumatic Heart Disease, Penicillin, Underuse, Secondary Prophylaxis.


1970 ◽  
Vol 44 (4) ◽  
pp. 180-184
Author(s):  
BJ Brown ◽  
AO Adeleye

Background: Socioeconomic factors are known to affect health quality, disease occurrence as well as health-seeking behaviors in several ways.Objectives: To determine the influence of socio-economic factors on awareness of cancer, healthseeking behaviors among parents of children with cancer in a developing country and occurrence of cancer using Burkitt lymphoma as index malignancy.Methods: This was a descriptive cross-sectional study that involved children with cancer seen over a 2-year period in a tertiary hospital in Nigeria. Information was obtained by interview through administration of a questionnaire and retrieval of clinical data from patients’ case notes.Results: The caregivers of 91 children (46 boys, 45 girls) were interviewed including 86 biological parents. Majority (84.6%) of the children belonged to the low socio -economic classes 3-5; 45 of 86 parents (52.3%), more likely in parents from higher socioeconomic classes, were aware of cancer but only 7 (8.1%) knew it could occur in children. There was no association between Burkitt lymphoma and socio-economic class. Twenty-eight (30.8%) parents of the 91 children visited alternate sources of health care, most commonly traditional healers, followed by religious centers. There was no association between visits to such centers and the parents’ socio-economic status or with presentation with metastatic disease.Conclusions: Awareness of childhood cancer is low among this cohort of parents; their socioeconomic status seems to impact on this level of awareness but not on their health-seeking behaviors for their affected children. Focused health education is needed to increase childhood cancer awareness and appropriate healthseeking behavior among the population studied.Key words: socio-economic; childhood; cancer; health-seeking; behaviour; awareness


Author(s):  
Santosh D. Patil ◽  
Ravindranath A. Bhovi

Background: Nutritional anaemia is defined as a condition in which the haemoglobin content of the blood is lower than normal as a result of deficiency of one or more essential nutrients. Anaemia is the late manifestation of deficiency of nutrient(s) needed for haemoglobin synthesis. The prevalence of anaemia in developing countries is estimated to be 43% and that of developed countries is 9%. Anaemia is estimated to contribute to more than 115000 maternal deaths and 591000 prenatal deaths globally per year. The objectives of the present study were to determine the prevalence of anaemia among the pregnant women and lactating mothers and to explore the associated factors with anaemia.Methods: A cross sectional study was conducted among pregnant and lactating women in Ukkali a rural field practice area Shri B. M. Patil Medical College, Vijayapur. Criteria for inclusion were pregnant women- current pregnancy of more than 6 months and lactating mother with child aged up to 6 months of age. Estimation of haemoglobin was carried by standard Sahlis pipette method. Anaemia was classified according to WHO grading criteria.Results: The maximum number of pregnant women (85.71%) in the age group of 35-49 years was anaemic followed by those who were in the age group of 20-34 years (61.54%). Prevalence of anaemia was 72 % in women of less than 20 years, whereas it was as high as 80% among lactating women of 35-49 years age group.Conclusions: Anaemia continues to be a problem with the existing health care resources. Socio-economic status, literacy of women and awareness related to health concerns are the major determinants that contribute to the problem of anaemia.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Getnet Kassa ◽  
Addisalem Mesfin ◽  
Samson Gebremedhin

Abstract Background In low- and middle-income countries routine vitamin A supplementation (VAS) is a key strategy for reducing vitamin A deficiency and mortality and morbidity of preschool children. However, in Ethiopia, there is paucity of evidence regarding the level and determinants of the uptake of the supplement. This study was designed to assess the coverage and predictors of VAS among preschool children in Humbo district, Southern Ethiopia. Methods A cross-sectional study was conducted in April 2016. A total of 840 mothers/caregivers having children 6–59 months of age were selected using multistage cluster sampling technique from six rural villages implementing routine VAS program. Data were collected using interviewer administered questionnaire. Possible predictors considered in the study include distance from the nearby health facility, household socio-economic status, type of the household (model vs non-model), maternal access to health education on VAS, and knowledge on vitamin A and VAS. Multivariable logistic regression analysis was performed to identify predictors of uptake of VAS. The outputs are presented using adjusted odds ratio (AOR) with the respective 95% confidence interval (CI). Results The coverage of VAS was 75.0% (95% CI: 72.1–77.9). Better knowledge of mothers about the importance of the supplement (AOR: 1.49, 1.02–2.17), obtaining VAS related information from frontline community health workers (AOR: 1.51, 1.34–2.72) than health professionals and being from households in the “rich” wealth tertile (AOR: 1.80, 95% CI: 1.07–3.03) were positively associated with uptake VAS. Conclusion The VAS coverage of the area was approaching the expected national target of 80%. However, the uptake can be enhanced though awareness creation and improving socio-economic status of the community.


2012 ◽  
Vol 15 (10) ◽  
pp. 1879-1889 ◽  
Author(s):  
Lena Hallström ◽  
Carine A Vereecken ◽  
Idoia Labayen ◽  
Jonatan R Ruiz ◽  
Cinzia Le Donne ◽  
...  

AbstractObjectiveTo describe breakfast habits at food group level in European adolescents and to investigate the associations between these habits and sociodemographic factors.DesignCross-sectional study.SettingSecondary schools from nine European cities participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Breakfast habits were assessed twice using a computer-based 24 h dietary recall. Adolescents who consumed breakfast on at least one recall day were classified as ‘breakfast consumers’ and adolescents who did not have anything for breakfast on either of the two recall days were considered ‘breakfast skippers’. A ‘breakfast quality index’ to describe breakfast quality was created based on the consumption or non-consumption of cereals/cereal products, dairy products and fruits/vegetables. The sociodemographic factors studied were sex, age, region of Europe, maternal and paternal education, family structure and family affluence.SubjectsAdolescents (n 2672, 53 % girls) aged 12–17 years.ResultsThe majority of the adolescents reported a breakfast that scored poorly on the breakfast quality index. Older adolescents, adolescents from the southern part of Europe and adolescents from families with low socio-economic status were more likely to consume a low-quality breakfast.ConclusionsThe study highlights the need to promote the consumption of a high-quality breakfast among adolescents, particularly in older adolescents, adolescents from southern Europe and adolescents from families with low socio-economic status, in order to improve public health.


Sign in / Sign up

Export Citation Format

Share Document