scholarly journals Surgical eye camp in rural area of Nepal and its role in Vision 2020

2017 ◽  
Vol 6 (2) ◽  
pp. 1-5 ◽  
Author(s):  
R Kharel Sitaula ◽  
S N Joshi ◽  
S Khanal

Blindness continues to remain a major public health problem in Nepal and cataract is the leading cause. Cataract surgical coverage is relatively low in the rural areas where prevalence of blindness is high. To evaluate the role of surgical out­reached eye camps in rural Nepal and its impact in Vision 2020. This is a descriptive cross sectional camp based study in a remote village of Nepal, where 4 days screening of the eye disease mainly the cataract was done. 250 patients (54.80% males and 45.20% females) underwent eye health screening tests. Cataract was the commonest ocular disease (29.6%) among the screened population and 24% (60 patients) of them required cataract surgery (57% male and 43% female). The mean age of the operated patient was 71.84 ± 10.6years. Among the operated cases, bilateral blindness was present in 21.66% and unilateral blindness in 70% but after vision restoring cataract surgery, normal visual acuity (6/6-6/18) was achieved in 31(51.66%), and vision of 6/24-6/60 in 23 (38.33%) cases. Cataract remains to be the major cause of blindness in Nepal and arrangement of repeated surgical eye camps in the remote areas of Nepal could aid in reducing the prevent­able cause of blindness thereby help in achieving the goal of Vision 2020. 

2000 ◽  
Vol 6 (5-6) ◽  
pp. 1017-1025
Author(s):  
F. El Sahn ◽  
S. Sallam ◽  
A. Mandif ◽  
O. Galal

We aimed to estimate the nationwide prevalence of anaemia among adolescents in Egypt and to study possible risk factors. A cross-sectional approach was used. Blood samples were collected from 1980 adolescents for haemoglobin estimation. The overall prevalence of anaemia was 46.6%, most of which was mild or moderate, with severe cases in less than 1.0% of the sample. Gender difference was almost nonexistent. A significant inverse relationship was observed between the level of anaemia and age [especially among boys], socioeconomic level and educational level. Anaemia was more prevalent in rural areas and in Upper [southern] Egypt. Anaemia is a major public health problem among Egyptian adolescents and wide-scale public health education is warranted.


Author(s):  
Radha Ramaiah ◽  
Srividya Jayarama

Background: Diabetes has emerged not only as a major public health problem, but also as a global societal catastrophe. Governments worldwide are struggling to meet the cost of the diabetic care. The proportion of people with diabetes is rapidly increasing in many countries, with the documented increase in low and middle income countries. With this background a study was planned with the objective of assessing the risk of diabetes among adults in a rural area using a simple diagnostic tool. Methods: A community based, cross-sectional study was done among 485 adults aged 20 years and above residing in a rural area of Karnataka. Data collection was done by household survey by direct interview using a pretested, structured questionnaire. The questionnaire had 2 parts with part one of socio-demographic variables and part two made up of Indian diabetes risk score (IDRS) questionnaire. IDRS was developed by Mohan et al and its parameters comprise of 2 modifiable (waist circumference, physical activity) and 2 non-modifiable risk factors (age, family history) for diabetes. Analysis was done with open Epi and Microsoft excel. Results: In the present study, according to IDRS, 14.84% of the study subjects had high risk of diabetes, 73.19% had moderate risk and 11.95% had no/low risk of diabetes. Conclusions: The risk of diabetes among adults is on rise in rural areas. Physical activity likes regular exercises, diet and lifestyle modification are some of the interventions that can reduce the risk of diabetes.


2014 ◽  
Vol 26 (1) ◽  
pp. 46-48
Author(s):  
Devendra Nath Sarkar ◽  
Md Ismail Hossain ◽  
Mainuddinin Ahmed ◽  
AKM Shaheduzzaman ◽  
Nur Mohammad

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48


Author(s):  
Radha Kumari Paladugu ◽  
Pavan Chand Donipudi ◽  
Divya Chimata ◽  
Manasa Jasti

Background: Teenage or adolescent pregnancy is a major public health problem worldwide. Studies show that teenage mothers are more likely to experience pregnancy-related complications and maternal death compared to adult mothers. Hence, this study was conducted to study the socio-demographic profile and the maternal and fetal outcomes associated with teenage pregnancy and compare it with those of mothers aged 20-30 years.Methods: A cross-sectional comparative study was conducted in Government General Hospital, Guntur from April 2016 to October 2016. 50 adolescent mothers aged <19 years and 50 mothers aged 20-30 years were respectively selected as cases and controls. Data on socio-demographic profile, obstetric complications and fetal outcome was collected using a pre-designed, pre-tested, semi-structured questionnaire by face-to-face interview. Data was analysed by entering it in MS Excel worksheet.Results: Mean age was 18.2 years in adolescent mothers and 23.2 years in controls. Mean age at marriage was 17.3 years in adolescent mothers and 19.9 years in adults. Among teenage mothers 48% were Hindus, 72% upper lower socio-economic class, 88% from rural areas, 32% illiterates, 72% housewives and 32% had consanguineous marriages. Prevalence of under-nutrition (36% vs 14%, p<0.05), PROM (20% vs 4%, p<0.05), PPH (20% vs 4%, p<0.05) was significantly higher in adolescent mothers compared to adults. Prevalence of PIH was significantly lower in adolescent mothers compared to adults (8% vs 28%, p<0.05).Conclusions: Complications like maternal under-nutrition, PROM, PPH, preterm delivery and low birth weight babies were higher in teenage mothers compared to adult mothers. PIH was higher in adult mothers compared to adolescent mothers.


2019 ◽  
Vol 9 (2) ◽  
pp. 173-189
Author(s):  
Fini Fajrini ◽  
Rr Arum Ariasih ◽  
Noor Latifah A

Violence against women is a major public health problem worldwide. Result of the National Commission on Violence Against Women’s 2017 mapping showed that violence against women spreads more widely, in various types, causing traumatic scars, and the number continues to grow reaching 348.446 cases. This research aims to analyze the relations between individual, family,  and  community  basis  with  supportive  attitude  toward  domestic  violence.  Domestic violence in Banten Province is relatively high, from 2010 to September 2017 reaching 442 cases. Data analysis was carried out on married men and women, a total of 1.876 in Banten Province’s 2012  Indonesian  Demographic  Health  Survey.  IDHS  used  a  cross-sectional  design  and  the statistical analysis employed logistic regression. The results showed that supportive attitude were widely welcomed at individual basis (women younger age, low education, younger of age at first marriage, and living in rural areas) as well as at family basis (being a sole decision maker). AbstrakKekerasan  terhadap  perempuan  merupakan  masalah  kesehatan  masyarakat  yang utama di seluruh dunia. Hasil pemetaan Komnas Perempuan tahun 2017 di seluruh Indonesia, menunjukkan bahwa persebaran kekerasan terhadap perempuan semakin luas, bentuknya semakin beragam, bekas traumanya  mendalam, dan jumlahnya terus berkembang mencapai 348.446 kasus. Kekerasan dalam rumah tangga di Provinsi Banten tergolong tinggi terhitung dari tahun 2010 hingga September 2017 mencapai 442 kasus. Penelitian ini bertujuan untuk mengetahui hubungan faktor individu, keluarga, dan masyarakat dengan sikap setuju terhadap kekerasan dalam rumah tangga. Analisis data dilakukan pada responden laki-laki dan perempuan menikah sebanyak 1.876 orang di Provinsi Banten pada Survei Demografi dan Kesehatan Indonesia 2012. Penelitian ini menggunakan rancangan cross sectional dengan analisis statistik menggunakan regresi logistik berganda. Hasil penelitian menunjukkan bahwa sikap setuju lebih diterima secara luas pada faktor individu (perempuan, orang berusia lebih muda, orang berpendidikan rendah, menikah muda, status ekonomi rendah, dan tinggal di pedesaan) dan faktor keluarga (pengambilan keputusan tunggal).


Author(s):  
Naresh Kumar S. J. ◽  
Ranganth B. G.

Background: Malaria is a major public health problem in several parts of country.  Malaria beliefs and practices are often related to culture, and can influence the effectiveness of control strategies. This study was undertaken to assess the awareness of malaria in rural areas of Kolar with varying endemicity.Methods: A cross sectional community based study was conducted. A sample of 207 Household respondents across the Kolar rural area were randomly selected and interviewed to collect information on awareness regarding Malaria. Two villages each were randomly selected from the two PHC areas in Mulbagal Taluk, Kolar District. PHC areas was taken based on annual parasite incidence more than 2 and less than 1 consistently in the past five years by using pre-tested structured proforma. Data analyzed by using epi info 2.5 version software.Results: It was observed that appropriate knowledge regarding malaria transmission from person to person is more in Devarayasamudra Primary Health Center area (69.2%) where API>2 compared to Nangli Primary Health Center area (26.2%) where API<1 and the knowledge regarding causes of malaria is also more in Devarayasamudra PHC area compared to Nangli area.  Majority (87%) of the respondents got information about malaria from the health workers at Devarayasamudra PHC area.Conclusions: The Community knowledge on malaria, its transmission and its prevalence and control clearly depends on the endemicity of malaria. The communities studied under Devarayasamudra PHC area which is problematic for malaria had a better knowledge on malaria transmission and its prevention.


Author(s):  
Abeya Sileshi Garoma

Objectives: Assess the prevalence and associated factors of sexual coercion at first sexual debut among young females in rural areas of Boset district, Oromia Region, Ethiopia. Methods: Cross-sectional community-based study was conducted using qualitative and quantitative data collection methods. A sample of 632 young females aged 10-24 years was taken from six rural Kebeles by systematic random sampling for quantitative and data was collected using a pre-tested structured questionnaire. The collected data was analyzed using SPSS version 23. Principally Binary Logistic regression model was fitted. Moreover, eight focus group discussions targeting different groups were held and analyzed thematically. Results: Prevalence of sexual coercion at first sexual debut was 36.5% (95%CI: 34.6%-38.4%) among sexually active respondents. Married young female (AOR,0.71;95%CI: 0.42,0.81), living away from their parents (AOR,5.07;95%CI:1.07,24.01), age group of 15-19 (AOR,0.19; 95%CI:0.06,0.54), alcohol consumption (AOR,2.44;95%CI:1.17, 5.08) and Khat chewing (AOR, 8.30;95%CI:1.89, 36.38) were factors predicting the likelihood of having sexual coercion at sexual debut. Conclusion: Sexual coercion at fist sexual debut is a major public health problem among young females in the study community. The emerging program interventions need to take this problem into consideration.


Author(s):  
Gautam B. Sawase ◽  
Sunayana G. Kumthekar ◽  
Shweta N. Salphale ◽  
Mohan K. Doibale

Background: Hypertension is the commonest cardiovascular disorder, posting a major public health problem of the world and especially to population in socio-economic and epidemiological transition. Around 7.5 million deaths or 12.8% of the total of all annual deaths worldwide occur due to high blood pressure. It is predicted to be increased to 1.56 billion adults with hypertension in 2025. In India there is 24-30% of prevalence of hypertension in urban areas and 12-14% in rural areas. The objectives of the study were to find out the prevalence of hypertension in study population of 18 years and above and to study some socio-demographic factors affecting hypertension.Methods: A community based cross sectional study was carried out in urban slum area, under urban field practice area of a Govt. Medical College & hospital. Sample size of 360 participants of age more than 18 yrs residing in study area taken. Data collected by using systematic random sampling by house to house visit. A semi-structured & pretested questionnaire used to interview the patients after obtaining their consent. The data was analyzed using SPSS version 23. Appropriate statistical tests were applied.Results: The overall prevalence of hypertension was 30.5%. Out of 360 subjects, 47 (13%) found elevated hypertensive. Out of 110 hypertensive population nearly 53 (48%) were in older age group, nearly 60 (55%) were illiterate and 53 (48%) were unskilled workers out of 110 was found statistically significant (p<0.05).Conclusions: Prevalence of hypertension found to be 30.5%. Some socio-demographic factors like age, sex, education, occupation were statistically significant (p<0.05).


2021 ◽  
Vol 21 (05) ◽  
pp. 18019-18034
Author(s):  
Chinwe Adaugo Uzokwe ◽  
◽  
GO Iheme ◽  
OU Oteh ◽  
MC Ewude ◽  
...  

Vitamin A deficiency is a major public health problem in Nigeria. Staple crops are targeted by biofortification efforts because they possess low micronutrient density and are consumed in large quantities by a large proportion of poor households. This study was designed to assess the knowledge, perception and utilization of biofortified cassava and orange-fleshed sweet potato in selected Local government Areas in Abia and Imo States. The study was descriptive and cross-sectional in design. A total of 710 respondents were selected using a multi-stage sampling technique. A structured interviewer-administered questionnaire was used to elicit the required information. Statistical analysis was performed using descriptive statistics(frequency, percentage, mean and standard deviation)and inferential(correlation)analysis. Socio-demographic data revealed a preponderance of females, married, well-educated and working-class respondents. Monthly income above ₦29,000(US$ 70.54) and household size of 4-6 members were reported in 53.5% and 48.6% of the respondents. Study results further revealed that some (34.9%)of the respondents had good knowledge, while 46.1% and 19.0% had an average and poor knowledge of biofortified staples, respectively. Orange fleshed sweet potatoes and biofortified cassava were purchased at least once monthly by 73.7% of the respondents, however 16.5% and 27.5% of the respondents consumed these biofortified staples on a daily and weekly basis. Low positive perception towards the consumption (27.5%), benefits (39.6%) and barriers (16.9%) of utilizing studied biofortified staples was reported. A positive correlation was observed between respondents’ knowledge of biofortified staples and their benefits perception (p = 0.003), purchase (p =0.001) and consumption (p= 0.001) frequency.Therefore, while a good number of the respondents were fairly knowledgeable about the studied biofortified staples, it significantly influenced the perception and utilization of these staples, despite being reportedly low. Therefore, increased sensitization, price subsidy and availability of these biofortified staples will help improvetheir acceptance and utilization among rural households.


Author(s):  
Raghavendra A. H. ◽  
Monika Singh ◽  
Pragti Chabra ◽  
Arun Kumar Sharma

Background: Hypertension is the major public health problem both in developing and developed nations. There is disparity in prevalence of hypertension in rural and urban areas. Data is available on the prevalence of hypertension in both urban and rural areas but studies on migratory population are limited. Methods: A community based cross sectional study conducted in urbanized village of east Delhi.  WHO STEPS questionnaire was used collect the data. Total of 451 persons were interviewed by stratified random sampling method.  Data analysis was done using SPSS version 16. Results: Prevalence of hypertension was 16.4%, high age group, high income, body mass index more than 23 and duration of stay in urban area were significantly associated with prevalence of hypertension. Conclusions: Older age group, higher BMI and longer duration of stay in urban area have significant associations with the higher prevalence of hypertension. 


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