scholarly journals Study of Working Experience in Remote Rural Areas after Medical Graduation

2015 ◽  
Vol 12 (2) ◽  
pp. 121-125
Author(s):  
KR Thapa ◽  
BK Shrestha ◽  
MD Bhattarai
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Sampling Method ◽  
Postgraduate Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Remote Areas ◽  
Convenience Sampling ◽  
A Priority

Background Posting of doctors in remote rural areas has always been a priority for Government; however data are scarce in the country about experience of doctors of working in remote areas after medical graduation.Objective A questionnaire survey of doctors was planned to analyze their experience of working after graduation in remote rural areas in various parts of the country.Method The cross-sectional survey was done by convenience sampling method. A one-page questionnaire with one partially closed-end and five open-end type questions was distributed to the doctors who had worked in remote rural areas after graduation under various governments’ postings.Result Two-third of participants had their home in urban areas and 89.8% had stayed for 1 to 5 years. About half of the participants had difficulty in getting the posting in the remote areas of their choice. Most participants indicated provision of opportunities for Residential (postgraduate) Training as their reasons of going to remote areas as well as their suggestions to encourage young graduates to go there. Similarly most also suggested appropriate career, salary and incentives to encourage doctors to go to work in remote areas. About 85% of participants pointed out the major problem faced while posted in remote areas as difficulty in handling varied situations with no guidance or seniors available around.Conclusion The notable points indicated by the participants are centered on the opportunity for Residential Training and difficulties faced without such training. Residential Training is a priority to be considered while planning the health policy for optimum health care of people.Kathmandu University Medical Journal Vol.12(2) 2014: 121-125

scholarly journals Acute food insecurity and short-term coping strategies of urban and rural households of Bangladesh during the lockdown period of COVID-19 pandemic of 2020: report of a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043365
Author(s):  
Subhasish Das ◽  
Md. Golam Rasul ◽  
Md Shabab Hossain ◽  
Ar-Rafi Khan ◽  
Md Ashraful Alam ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Rural Households ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Insecure Households

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.

scholarly journals Career Intentions and Dropout Causes Among Medical Students in Kazakhstan

Medicina ◽  
2013 ◽  
Vol 49 (6) ◽  
pp. 45
Author(s):  
Kamila Faizullina ◽  
Galina Kausova ◽  
Zhanna Kalmataeva ◽  
Ardak Nurbakyt ◽  
Saule Buzdaeva
Keyword(s):  
Medical Students ◽  
Human Resources ◽  
Rural Areas ◽  
Urban Areas ◽  
Human Resources For Health ◽  
Medical Schools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unequal Distribution ◽  
Survey Tool

Background and Objective. The number of new entrants to higher medical schools of Kazakhstan increased by 1.6 times from 2007 to 2012. However, it is not known how it will affect the shortage of human resources for health. Additionally, human resources for health in rural areas of Kazakhstan are 4 times scarcer than in urban areas. The aim of the present study was to investigate the intentions of students toward their professional future and readiness to work in rural areas, as well as to determine the causes for dropping out from medical schools. Material and Methods. A cross-sectional survey was conducted in 2 medical universities in Almaty during the academic year 2011–2012. The study sample included medical students and interns. In total, 2388 students participated in the survey. The survey tool was an anonymous questionnaire. Results. The students of the first years of studies compared with those of later years of studies were more optimistic about the profession and had more intentions to work in the medical field. Only 8% of the students reported a wish to work in rural localities. On the other hand, 4% of the students did not plan to pursue the profession. On the average, every third medical student dropped out on his/her own request. Conclusions. Associations between intentions to work according to the profession and the year of studies, faculty, and residence area before enrolling in a medical school were documented. The majority of the students who came from rural areas preferred to stay and look for work in a city, which might contribute to an unequal distribution of physicians across the country.

scholarly journals Standard Precautions Among Emergency Medical Services in Urban and Rural Areas

2019 ◽  
Vol 68 (2) ◽  
pp. 73-80
Author(s):  
Riyadh A. Alhazmi ◽  
R. David Parker ◽  
Sijin Wen
Keyword(s):  
West Virginia ◽  
Emergency Medical Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Medical Services ◽  
Cross Sectional Survey ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Rural And Urban

Backround: Emergency medical services (EMS) workers are at risk of exposure to bloodborne pathogens and frequently exposed to blood and bodily fluids through percutaneous injuries. This study aimed to assess the consistency with which standard precautions (SPs) among rural and urban EMS providers were used. Methods: This study consisted of a cross-sectional survey conducted with a sample of certified EMS providers in West Virginia in which we ascertained details about sociodemographic characteristics, and the frequency of consistent SP. An email invitation was sent to a comprehensive list of agencies obtained from the Office of West Virginia EMS. Findings: A total of 248 out of 522 (47%) EMS providers completed the survey. The majority of the EMS providers (76%) consistently complied with SPs; however, more than one third (38%) of urban EMS providers indicated inconsistent use compared with 19% of rural EMS providers ( p = .002). Most EMS providers reported low prevention practices to exposure of blood and body fluids in both areas. Conclusion/Application to Practice: The results emphasize the need to enhanced safe work practices among EMS providers in both rural and urban areas through education and increasing self-awareness. Occupational health professional in municipalities that serve these workers are instrumental in ensuring these workers are trained and evaluated for their compliance with SPs while in the field.

scholarly journals Epidemiological study of obesity and overweight among adolescents in schools in district Ghaziabad

2019 ◽  
Vol 6 (8) ◽  
pp. 3177
Author(s):  
Susmita Thakur ◽  
Narendra Singh ◽  
Mitasha Singh
Keyword(s):  
Private School ◽  
Rural Areas ◽  
Urban Areas ◽  
Overweight And Obesity ◽  
Cross Sectional Survey ◽  
Government Schools ◽  
Cross Sectional ◽  
Government School ◽  
Obesity And Overweight ◽  
The Government

Background: Developing countries are experiencing an epidemic of obesity and overweight. Adolescence is the stage when the lifestyle behavior sets in and decides the future pattern of health. The objective was to study the prevalence and correlates of overweight and obesity among school going adolescents of district Ghaziabad.Methods: A school based cross sectional survey was conducted in district Ghaziabad. Adolescents (10-19 years) from both urban and rural government and private schools were included. Multistage sampling technique was used to study 1128 study population. Anthropometry and a structured questionnaire were used as study tool.Results: In urban area, the proportion of underweight students in government schools (20.9%) was significantly more than the private school (13.8%) whereas the number of overweight students in private school (18.2%) was significantly more than the government schools (10.3%). In rural area underweight students in government school (30.5%) was significantly more than the private school (21.3%) whereas the number of overweight students in private school (11.3%) was significantly more than the government school (3.2%). Obesity was significantly associated with the area of residence, type of school, consumption of carbonated drinks, fast foods and decreased physical activity.Conclusions: An overall higher prevalence of overweight and obesity among adolescents in urban areas and increasing trend in rural areas too alarm us to focus on the modifiable risk factors. 

scholarly journals Comparative Study of Attitude of Adolescents Studying in Junior Colleges of Rural and Urban Areas of Vijayapura towards Social Aspects of Life

2021 ◽  
Vol 10 (18) ◽  
pp. 1280-1285
Author(s):  
Sadashiva Basavantappa Ukkali ◽  
Nagamani Kulkarni ◽  
Thobbi A.N. ◽  
Ayesha Siddiqua ◽  
Shruthi Reddy
Keyword(s):  
Risk Taking ◽  
Rural Areas ◽  
Urban Areas ◽  
Urban Adolescents ◽  
Peer Pressure ◽  
Social Aspects ◽  
Rural Adolescents ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban

BACKGROUND Adolescent period is that part of exciting period of life which marks the transition from being a dependent kid to an independent and responsible adult. It is recognised as a fascinating period that poses specific challenges and has a great impact on the physical, social and emotional behaviour in the family and society. METHODS A comparative cross-sectional survey of a total of 1000 adolescents, 16 - 18 years of age – 250 each from 4 PU colleges (2 urban + 2 rural) were interviewed using a pretested questionnaire. Based on responses, their attitude towards social aspects of life were assessed, analysed and compared. RESULTS There were significant differences in attitude of adolescents residing in urban areas on various social aspects of life as compared to the adolescents residing in rural areas. Significant differences were observed in personality development traits like selfesteem and self-concept, shrewdness, tender mindedness, internal restraint and individual capacities. Risk taking behaviour was more common in urban adolescents and academic underachievement was more common in rural adolescents. There were no significant differences between the two groups with respect to home / college environment, safety at home / college, relationships with parents, siblings and friends, depression and social ideation. CONCLUSIONS We observed that rural and urban adolescents differed significantly in their attitude towards development of personality traits. Rural adolescents were academically underachievers because of poor facilities, less opportunities and lack of motivation. Urban adolescents exhibited high risk-taking behaviour compared to rural adolescents because of high peer-pressure, curiosity and more exposure to mass media. KEY WORDS Adolescent, Attitude, Rural, Urban, Social

scholarly journals Determinants of BCG vaccination coverage in Ethiopia: a cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023634 ◽  
Author(s):  
Asmamaw Ketemaw Tsehay ◽  
Getasew Tadesse Worku ◽  
Yihun Mulugeta Alemu
Keyword(s):  
Vaccination Coverage ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Index ◽  
Outcome Variable ◽  
Antenatal Visit ◽  
Sampling Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Bcg Vaccination

ObjectiveThe objective of this study is to assess the determinants of BCG vaccination in Ethiopia from 2016 Ethiopia Demographic and Health Survey (EDHS).SettingSince Ethiopia has nine regional states and two administrative cities, sample was taken from all the divisions. The population-based sample was intended to provide estimates of key indicators for the country.ParticipantThe sampling frame used for the 2016 EDHS is the Ethiopia Population and Housing Census. From 15 683 women recorded in EDHS dataset, women with no child (n=10 379) were excluded from the study. Therefore, the total sample size for this study was 5304 women. The outcome variable was BCG immunisation status of children.ResultOut of the study participants (n=5304), the majority were in between 20 and 34 years of age (73.8%). The median age of the respondents was 28.4 (SD=±6.5) years old. Prevalence of BCG vaccination was 63.6% (n=3373) and BCG vaccination coverage in urban residents was higher (88%) than rural residents (57.3%). Mothers’ age between 20 up to 34 (Adjusted odds ratio (AOR)=1.48; 95% CI: 1.13 to 1.93) and between 35 up to 49 (AOR=1.83; 95% CI: 1.35 to 2.46) were more likely to vaccinate their child’s than those mothers’ age less than 20. Mothers settled in urban areas were two times more likely to vaccinate their child’s than those living in rural areas (AOR=1.94; 95% CI: 1.45 to 2.60). Mothers with greater antenatal visits show higher BCG vaccination, Antenatal Care (ANC) 4 and above (AOR=3.48; 95% CI: 2.91 to 4.15). BCG vaccination is higher for mothers delivered at non-governmental organisation health facility than home (AOR=2.9; 95% CI: 1.69 to 4.96). Maternal occupation and wealth index also had a significant association with BCG vaccination.ConclusionBCG vaccination coverage, in this study, was lower and determinant factors for BCG vaccination were residence, mother’s age, place of delivery, mother’s antenatal visit, wealth index and mother’s occupation.

scholarly journals Assessment of immunization Status of Children between 12-23 months in Bareilly District

2011 ◽  
Vol 1 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Hari S Joshi ◽  
Rakesh Gupta ◽  
Arun Singh ◽  
Vipul Mahajan
Keyword(s):  
Vitamin A ◽  
Rural Areas ◽  
Urban Areas ◽  
Immunization Coverage ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Immunization Status ◽  
Rural And Urban

Objectives: To assess the immunization status of children in the age group 12-23 months and to know the reasons for non-immunization of children. Method: -  A cross-sectional survey was conducted using WHO’s thirty cluster sampling technique in rural and urban areas of Bareilly district from August 2008 to January 2009. Rural areas were divided into blocks and blocks were divided into villages. Urban areas were divided into wards. Villages and wards were taken as clusters. During the house-to-house survey, a total of 240 children of age 12-23 months were included in the present study. Result:  only around 50% of children were fully immunized while 27.5% were partially and 22.5 % were not immunized at all. Immunization coverage was highest for BCG (62.5%) and lowest for measles (39.2%). Dropout rates were 37.3%, 19.7% and 18.2% for BCG to measles, DPT1 to DPT3 and OPV1 to OPV3 respectively. Vitamin A prophylaxis showed a decline from 38.3 % to 16.7%. Amongst the various reasons for not immunizing the child, the most common in both rural (78.7%) and urban areas (28.6%) was lack of awareness for the need of vaccination. However in rural areas lack of availability of services (87.2%) was the major cause for not immunizing the child. Conclusion: The present study shows a low coverage of immunization and Vitamin A prophylaxis in both rural and urban areas. Important reasons for non-immunization were lack of awareness about vaccination and availability of immunization services in rural areas and urban areas.Key Words: Immunization coverage; Children between 12-23 months; Vitamin A Prophylaxis.DOI: http://dx.doi.org/10.3126/nje.v1i2.5091 Nepal Journal of Epidemiology 2011;1 (2):47-50

Immunization Status of Children in Abbottabad, Pakistan: A Cross-Sectional Study

2017 ◽  
Vol 7 (03) ◽  
Author(s):  
Moshin Raza ◽  
Saira Azhar ◽  
Ghulam Murtaza ◽  
Akash Syed ◽  
Anam Khan ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Facilities ◽  
Routine Immunization ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Polio Vaccine ◽  
Immunization Status ◽  
Type D

Objective: Recent studies and surveys are detecting an ambiguous trend of routine immunization coverage and fully immunized children in KPK. Pakistan. A cross-sectional survey was conducted to access immunization status among children of age group 12-23 months visiting fixed EPI centers in primary, secondary and tertiary health facilities in rural and urban areas. Methods: The study covered 436 children in five health facilities. Five fixed EPI centers are visited as per office order: BBS teaching hospital Abbottabad. (DHQ), Women and children hospital Abbottabad. (THQ), Type D hospital Havelain, Basic Heath Unit (BHU) Mangal and Ayub teaching hospital Abbottabad (AMI). A pretested structured questionnaire was used to collect information. Analysis was performed on SPSS version 23 for frequencies, cross tabulation and percentages. Results: Estimation recorded fully immunized children as 275 (63.1%), partially immunized as 155 (35.6%), and unimmunized as 6 (1.3%). Only 157 (36.1%) children in rural area were fully immunized compared to 118 (27.1%) in urban. Primary respondents were mothers 320 (73.4%) whereas, father and other respondents are almost 13%. Vaccination cards were available with 386 (88.5%) respondents. High proportion of partially immunized children 77% in BHU. However, unimmunized 1.96% and 4.4% children in AMI and Type D hospital were present. Moreover 67% partially immunized are from rural origin. The coverage of various vaccines was BCG 421 (96.6%), Pentavalent 403 (96.6%): Penta-1 60 (13.8%), Penta-2 38 (8.7%), Penta-3 305 (70.0%), and Measles 375 (86.0%): Measles-1 127 (29.1%), Measles-2 248 (56.9%), and Polio 430 (98.6%): Oral Polio Vaccine (OPV-0) 51 (11.7%), OPV-1 32 (7.3%), OPV-2 44 (10.1%), OPV-3 165 (37.8%), Injectable polio vaccine (IPV) 138 (31.7%), Pneumococcal 409 (93.8%): Pneumo-1 75 (17.2%), Pneumo-2 46 (10.1%), Pneumo-3 288 (66.1%). No Sex-wise discrimination was found. Conclusion: Hard work in policy making is needed to strengthen routine immunization programme in marginalized areas like rural areas (83.12% of KPK and 62.5% of Pakistan) with special emphasis on BHUs and groups such as those living in mountainous terrain. Inaccessibility, inconvenience and unavailability of timely EPI services at BHUs are among various reasons of unimmunized and partially immunized children. Targeted intervention are needed with special emphasis on people in slum and rural areas with low educational and socioeconomic status.

scholarly journals Food-borne disease prevalence in rural villages in the Eastern Cape, South Africa

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Khanya Z. Bisholo ◽  
Shanaz Ghuman ◽  
Firoza Haffejee
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Areas ◽  
Second Phase ◽  
Eastern Cape ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Villages ◽  
Food Borne

Background: The highest burden of food-borne diseases is in Africa. Despite this, food safety does not seem to be a major concern in many African countries. There is also a lack of concern within rural areas of South Africa.Aim: The aim of this study was to determine the prevalence of food-borne diseases in rural areas in the Eastern Cape, South Africa, by comparing data obtained from a cross-sectional survey and clinic records.Setting: The study was conducted in Ncera, Mpongo and Needscamp villages in the Eastern Cape, South Africa.Methods: In the first phase of the study, a random sample of household heads (n = 87) were interviewed to determine the prevalence of food-borne diseases between 2012 and 2014. In the second phase, registers from clinics serving the villages were screened for food-borne disease cases during the same time period.Results: A total of 109 (27.3%) household members fell ill because of food-borne diseases. Half (n = 56; 51.3%) of the respondents who fell ill because of food-borne diseases did not seek medical treatment for their illness. Of those who sought treatment, 19 (46%) attended primary health care clinics. However, examination of the clinic registers showed only four recorded cases of food-borne diseases.Conclusion: The prevalence of food-borne diseases in rural villages in the Eastern Cape, South Africa, was reported as high but the records in clinic registers are low, indicating a gap in the health care system. Monitoring of these diseases needs to improve.

scholarly journals Profile of Double of Undernutrition Problem, Coexistence with Anemia among Pregnant Women Indonesia 2018: A Cross Sectional Survey

2021 ◽  
Vol 9 (E) ◽  
Author(s):  
Ina Kusrini ◽  
Donny Kristanto Mulyantoro ◽  
Dwi Hapsari Tjandrarini ◽  
Hadi Ashar
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Body Height ◽  
Secondary Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Adverse Pregnancy

BACKGROUND: Anemia is the most common type of malnutrition in pregnant women, and when combined with another nutritional problem, it would increase the risk of adverse pregnancy outcomes. AIM: This study aims to analyze the risk of double undernutrition in pregnant women with anemia. MATERIALS AND METHODS: We used secondary data from the 2018 National Basic Health Survey as well as biomedical anemia samples. Anthropometric measurements were maternal body height, middle–upper circumference (MUAC) for chronic energy malnutrition (CEM); anemia was predicted using hemoglobin levels. The number of samples is 484, considering the minimum sample size for each undernutrition proportion. RESULTS: Anemia in pregnant women is not a single malnutrition issue. Almost one–third of pregnant women with anemia also had another form of undenutrition. In this study, the prevalence of anemia among pregnant women (%) is 35.7; stunted is 35.9, and CEM is 16.7. The malnutrition was identified as double nutritional problems coexistence to anemia, such as prevalence stunted–anemia (%) 12.5; anemia–CEM 9.2; and anemia–stunted–CEM 4.4. Overall, CEM is associated with anemia with p < 0.05 and AOR 2.25 (CI; 1.38–3.66), adjusted to height and type of residence, education, and occupation. Urban areas have a similar risk to rural areas with AOR for CEM to anemia, 2.29 (CI; 1.12–4.69); rural areas 2.23 (CI; 1.14–4.33), respectively. Moreover, women with double of undernutrition stunted–CEM in rural areas have a risk of anemia with AOR 2.75 (1.14–6.65). CONCLUSION: The risk of anemia in pregnant women with chronic energy malnutrition has increased more than twice in rural and urban areas.

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