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

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

Author(s):  
Ina Kusrini ◽  
Donny Kristanto Mulyantoro ◽  
Dwi Hapsari Tjandrarini ◽  
Hadi Ashar

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.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.


2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


2019 ◽  
Vol 68 (2) ◽  
pp. 73-80
Author(s):  
Riyadh A. Alhazmi ◽  
R. David Parker ◽  
Sijin Wen

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.


2020 ◽  
Vol 43 (1) ◽  
pp. 11
Author(s):  
Cindy Fariski ◽  
Fillah Fithra Dieny ◽  
Hartanti Sandi Wijayanti

The health status during the preconception period was important to prepare pregnancy. Living patterns that can affect diet quality and nutritional status. This study aimed to analyze the differences in diet quality, nutritional status, and anemia between preconception women in rural and urban areas. This study was conducted using a cross-sectional design that consisted of 68 brides aged 16-35 years selected by consecutive sampling. Diet quality was obtained by diet quality index international (DQI-I) form. Nutritional status based on body mass index (BMI) and mid-upper arm circumference (MUAC). Hemoglobin levels were measured by the cyanmethemoglobin method. Data were analyzed by Independent T-test and Mann Whitney. Subjects in rural and urban areas had low diet quality. The score of variation in the type of protein intake, total fat, and saturated fat was higher in rural areas than urban areas (p=0,001; p=0,013; p=0,002). The mean BMI and MUAC were higher in urban subjects than rural subjects but the hemoglobin levels of rural subjects were higher than urban subjects. The subjects of anemia in urban was 23,5 percent were higher than rural was 14,7 percent but the risk of chronic energy deficiency in rural was 55,9% were higher than urban was 11,8 percent. There were no differences in diet quality and hemoglobin levels between preconception women in rural and urban areas (p=0,990; p=0,116). There were a differences in BMI and MUAC (p=0,026; p=<0,001). There were differences in nutritional status based on BMI and MUAC in both areas. There were no differences in diet quality and hemoglobin levels in rural and urban areas


Author(s):  
C. C. Nduka ◽  
H. N. Chineke ◽  
P. O. Adogu ◽  
A. F. Chizoba

Malaria, a disease of poverty, is of significant public health concern. It is endemic in Nigeria with the risk of transmission appearing to be high because of favorable climatic and environmental factors. Increased susceptibility to malaria has also been linked to dirty surroundings that favor the breeding and propagation of the vector, poor access to quality health care and ignorance especially of malaria prevention strategies. However, this study investigated the role of socioeconomic factors responsible for the observed difference in malaria prevalence between selected rural and urban areas of Anambra, Nigeria. A descriptive comparative cross-sectional study, data on demographic and socioeconomic variables were collected from 202 urban and rural respondents, then analyzed using SPSS platform to generate chi-square test of significance. The results were presented in figures, table and charts for clarity. All the subjects were aware of the term malaria but only 63.4% had adequate specific knowledge of malaria. Generally, 25.7% of rural participants had no formal education while the urban group had only 4% of that particular category. About 52.5% of rural participants earned below 50,000 naira monthly, with 14.9% earning above 100,000 naira while the reverse was the case in the urban area. Also, the number of malaria episodes was inversely proportional to the household monthly income (X2=24.30, p<0.001). More episodes of malaria were also reported among the unskilled workers and skilled workers (71.3%) compared to Professionals (28.7%), yet all the participants reported the presence of a healthcare facility <3km from their houses with 95% and 80.2% of them in the rural and urban areas respectively having to pay out-of-pocket for healthcare services. It is clear that socioeconomic factors play a role in the persistence of malaria as an endemic disease in Nigeria. Therefore, existing control measures should incorporate strategies to end poverty and ignorance especially among the rural populace.


2021 ◽  
Vol 66 ◽  
Author(s):  
Anna Marzà-Florensa ◽  
Daniel Boateng ◽  
Charles Agyemang ◽  
Erik Beune ◽  
Karlijn A. C. Meeks ◽  
...  

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.


2021 ◽  
Vol 10 (18) ◽  
pp. 1280-1285
Author(s):  
Sadashiva Basavantappa Ukkali ◽  
Nagamani Kulkarni ◽  
Thobbi A.N. ◽  
Ayesha Siddiqua ◽  
Shruthi Reddy

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


2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B24-B26
Author(s):  
Corine Houehanou ◽  
Léopold Codjo ◽  
Philippe Adjagba ◽  
Arnaud Sonou ◽  
Hugues Dohou ◽  
...  

Abstract Hypertension constitutes a major health concern worldwide and particularly in Sub-Saharan Africa. May Measurement Month (MMM) is a global initiative of the International Society of Hypertension for raising awareness of high blood pressure (BP). This work aims to determine the prevalence, awareness and levels of treatment and control of hypertension among adults participating in the MMM Campaign in Benin in 2019 (MMM19). A cross-sectional survey including volunteers aged ≥18 years was carried out in June 2019 in 13 rural and urban areas in Benin. BP measurement followed the MMM19 protocol. Hypertension was defined as a systolic BP ≥140 mmHg, or a diastolic BP ≥90 mmHg (based on the mean of the second and third readings) or taking antihypertensive medication. A total of 3637 people were screened with a female predominance (61.4%) and a mean age of 44.4 ± 16.1 years. A total of 1363 (37.5%) participants had hypertension. Of 1363 participants with hypertension: 64.5% were aware of their status and 43.9% were taking antihypertensive medication. Among 598 participants taking anti-hypertensive medication, 34.9% had controlled BP (systolic BP &lt;140 mmHg and diastolic BP &lt;90 mmHg). The results suggest a high prevalence of hypertension in Benin and that intensifying actions for its primary prevention, early detection and effective management should be encouraged.


Author(s):  
Moshin Raza ◽  
Saira Azhar ◽  
Ghulam Murtaza ◽  
Akash Syed ◽  
Anam Khan ◽  
...  

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.


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