scholarly journals Obstetric Fistula Orientation Program in Nepal

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Tara Shakya
Keyword(s):  
Health Service ◽  
Community Health ◽  
Service Providers ◽  
Obstetric Fistula ◽  
Health Concern ◽  
Orientation Program ◽  
Community Health Volunteers ◽  
Female Community ◽  
Health Service Providers ◽  
Female Community Health Volunteers

Aims: To find out the hidden cases by strengthening/upgrading the knowledge of the participants and also to refer the identified cases not only to the phect -NEPAL's fistula surgery center (Kathmandu Model Hospital/Kirtipur hospital) but also to the nearest fistula centers of the country. Methods: In 2018, phect-NEPAL has conducted orientation program in seven districts. During the orientations, pretest/posttest was done with health service providers, female community health volunteers, NGOs /teachers and school students to see their knowledge on obstetric fistula. Public Health Concern Trust (phect-NEPAL) is working in this area not only in curative part but also in preventive/awareness part since 2014. Till now, phect-NEAPAL has conducted orientations in more than 17 districts (one Municipality and one village Municipality in each district).  Results: Among the 370 health service providers who got orientation in 2018,  a total of 90% of health service providers know what is obstetric fistula, 55%  know about Pelvic organs involved in obstetric Fistula, 47 % HSP knows about the causes of obstetric fistula, 22% know about symptoms of obstetric fistula, only 37% know about diagnostic criteria for identifying obstetric fistula and  49% have confusing knowledge with other gynae problems like uterine prolapse. Among 660 FCHVs, almost 80 % of female community health volunteers did not heard about obstetric fistula. Those FCHVs who said they heard about obstetric fistula,  more than 80% have confused knowledge of prolapse uterus /piles, leaking urine while coughing/sneezing, etc. Almost 90% of teachers and 60% of NGOs do not know about obstetric fistula. Conclusion:  Awareness on obstetric fistula is a Key Component for successful implementation of Obstetric Fistula Program in Nepal.

scholarly journals Effect of an Educational Intervention on Knowledge and Perception Regarding Rational Medicine Use and Self-medication

2018 ◽  
Vol 16 (3) ◽  
pp. 313-320
Author(s):  
Nisha Jha ◽  
Pathiyil Ravi Shankar ◽  
Anurag Marasini
Keyword(s):  
Drug Use ◽  
Community Health ◽  
Healthcare Professionals ◽  
Medicine Use ◽  
Self Medication ◽  
Community Health Volunteers ◽  
Female Community ◽  
Pharmaceutical Promotion ◽  
Female Community Health Volunteers ◽  
The Mean

Background: Rational use of medicines is important for safe and cost-effective pharmacotherapy. However, nearly half of the medicines available in the market may be used irrationally. The present study assessed the perceptions and knowledge about rational medicine use and responsible self-medication among participants before and after an educational intervention at KIST Medical College, Lalitpur. Methods: An educational module was conducted among healthcare professionals, media personnel and female community health volunteers. The questionnaire was administered before and immediately after the module. The areas addressed were rational medicine use, ethical prescribing, rational drug use situation in Nepal, pharmaceutical promotion, rational self-medication, safe use of antibiotics, and drug use problems in Nepal. Results: Among healthcare professionals, the rational drug use situation in Nepal and the total score significantly increased post-intervention (p<0.05). Among media personnel the mean scores increased significantly in pharmaceutical promotion and drug use problems in Nepal areas but there was a significant decrease in safe use of antibiotics. The pre-intervention pharmaceutical promotion score was significantly higher among healthcare professionals compared to media personnel while the rational self-medication scores were highest among female community health volunteers, safe use of antibiotics scores were highest among the media personnel. Post-intervention the mean pharmaceutical promotion scores was highest among healthcare professionals, rational self-medication scores among female community health volunteers, safe use of antibiotics, drug use problems in Nepal and total scores were highest among the media personnel. Conclusions: There were differences in the mean pre-intervention scores among different subgroups. A single session may not be enough to bring about significant changes in knowledge and perception. The retention of knowledge could be measured in future studies. Keywords: Female community health volunteers; health care professionals; media; rational medicine use; self medication.

scholarly journals Effect of an Educational Intervention on Knowledge and Perception Regarding Rational Medicine Use and Self-medication

2018 ◽  
Vol 16 (3) ◽  
pp. 313-320
Author(s):  
Nisha Jha ◽  
Shankar Pathiyil Ravi ◽  
Marasini Anurag
Keyword(s):  
Drug Use ◽  
Community Health ◽  
Healthcare Professionals ◽  
Medicine Use ◽  
Self Medication ◽  
Community Health Volunteers ◽  
Female Community ◽  
Pharmaceutical Promotion ◽  
Female Community Health Volunteers ◽  
The Mean

Background: Rational use of medicines is important for safe and cost-effective pharmacotherapy. However, nearly half of the medicines available in the market may be used irrationally. The present study assessed the perceptions and knowledge about rational medicine use and responsible self -medication among participants before and after an educational intervention at KIST Medical College, Lalitpur.Methods: An educational module was conducted among healthcare professionals, media personnel and female community health volunteers. The questionnaire was administered before and immediately after the module. The areas addressed were rational medicine use, ethical prescribing, rational drug use situation in Nepal, pharmaceutical promotion, rational self-medication, safe use of antibiotics, and drug use problems in Nepal.Results:  Among healthcare professionals, the rational drug use situation in Nepal and the total score significantly increased post-intervention (p<0.05). Among media personnel the mean scores increased significantly in pharmaceutical promotion and drug use problems in Nepal areas but there was a significant decrease in safe use of antibiotics. The pre-intervention pharmaceutical promotion score was significantly higher among healthcare professionals compared to media personnel while the rational self-medication scores were highest among female community health volunteers, safe use of antibiotics scores were highest among the media personnel. Post-intervention the mean pharmaceutical promotion scores was highest among healthcare professionals, rational self-medication scores among female community health volunteers, safe use of antibiotics, drug use problems in Nepal and total scores were highest among the media personnel. Conclusions: There were differences in the mean pre-intervention scores among different subgroups. A single session may not be enough to bring about significant changes in knowledge and perception. The retention of knowledge could be measured in future studies. 

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