The Effectiveness of Sexual Reproductive Health (SRH) Programme Among Adolescents in Cheras, Malaysia

Author(s):  
Zaitul Akmal AZ ◽  
Salmah N ◽  
ND Ismail ◽  
Muhammad Akmal MN ◽  
Khairatul Nainey K

Introduction: In Malaysia, the rate of adolescents involved in sexual activities has increased and starts at an earlier age. Data from NHMS 2017 showed that 7.3% among surveyed 13 to 17 years-old adolescents have already had sex. The rate of teenage pregnancies is also increasing at 3.7-3.9% between the years 2009 until 2011. Therefore, an effective SRH Programme should be conducted in schools to equip them with adequate knowledge regarding this subject.Methods: A cross-sectional questionnaire survey was conducted among 145 randomly selected secondary school students aged 13 to 15 years old, attending the SRH Programme in a secondary school in Cheras, Selangor, Malaysia. The objective of this programme is to deliver knowledge and promote awareness among adolescents regarding SRH. The programme consists of intervention using adolescent-friendly module and games. A pre- and post-test were given to the participants to evaluate the effectiveness of the programme using the validated SRH questionnaire (Malay version). The questionnaire consists of fourteen and six items for knowledge and attitude, respectively.Results: The result showed an increase in the mean knowledge score (±SD) after the SRH Programme at the school from 7.25 ± 2.44 for pre-test to 9.70 ± 3.17 for post-test. The mean difference in pre- and post-test was 2.45 (95% CI: 2.02, 2.87) and was statistically significant (p<0.001). In terms of attitudes, the majority of the students felt that they have enough knowledge to make a gooddecision regarding sexual reproductive health issues after the SRH programme. However, there was only a small increment with regards to their attitudes on assertiveness.Conclusion: This study demonstrated an increase in the level of knowledge among adolescents in Cheras after the SRH programme using the adolescent-friendly module and games. However, there is no significant change in attitude among adolescents regarding SRH.Future SRH programmes need to be done regularly to instil positive attitudes among adolescents in dealing withsexual reproductive dilemmas.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S20

Author(s):  
M.K. Sreelakshmi ◽  
Suneesh Kuruvilla ◽  
Ramanarayanan Subramaniam ◽  
Pooja Latti ◽  
Ramanarayanan Venkitachalam

Abstract Background: Chengannur, a town in the south Indian state of Kerala, was 1 of the worst affected towns during the floods of 2018. Post-flood, Kerala state was under the threat of many infectious diseases including leptospirosis, but did not report any leptospirosis infections. Objectives: This study was conducted with the following objectives: (1) Assess the knowledge, attitude and practices regarding the prevention of leptospirosis among the flood affected population and Accredited Social Health Activists (ASHAs) of Chengannur; and (2) Analyze the factors responsible for and contributing to leptospirosis control in the area post flood. Methodology: A cross-sectional questionnaire based observational study was conducted among 2 groups: the flood affected population, and ASHA. The questionnaire was divided into 3 parts. Part A contained the socio-demographic information. Part B contained questions on assessment of knowledge, attitude, and practices regarding the prevention, and control of leptospirosis. Part C was only for the ASHA involved. Results: The final sample size was 331 (244 from the general population and 87 ASHAs). With respect to knowledge, attitude, and practice, the responses were dichotomized into correct and wrong responses. The mean knowledge score was 9.01 ± 1.08 (maximum score of 10), mean attitude score was of 3.61 ± 0.55 (maximum score of 4) and the mean practice score was 4.12 ± 1.05 (maximum score of 5). Conclusion: Knowledge and attitude scores did not significantly differ between the general population and ASHA, but the practice score showed a higher score among the ASHA, all of which could have probably contributed to the prevention of a leptospirosis outbreak in the region.


2017 ◽  
Vol 1 (1) ◽  
pp. 13-19 ◽  
Author(s):  
D. Sapkota ◽  
P. Parajuli ◽  
T.K. Kafle

Introduction Breast self-examination (BSE) is a self-generated, non-invasive and non-irradiative method of breast cancer detection. Self examination of the breasts each month after the menstrual cycle is the simplest yet extremely important way to detect early breast cancer. It has been observed that women can detect 95% of breast cancers and 65% of early minimal breast cancers themselves. This method is harmless, less time consuming and can be performed by any woman.Objective To assess the effectiveness of educational intervention programme regarding Breast Self Examination among girl students of study school.Methodology Pre experimental one group pre-test post-test design was adopted for this study. In total, 61 girls were included. The result were analysed by using both descriptive as well as inferential statistics.Results In pre-test 75.4% had inadequate and only 1.6% had adequate knowledge regarding Breast Self Examination, in contrast, after the intervention the adequate knowledge was increased to 62.3%. The overall mean score was increased from 33.07% to 85.14%. The test of significance revealed that the increment in BSE knowledge score due to program intervention was highly significant (P< 0.001).Conclusion The educational intervention programme on BSE was found to be highly effective as the knowledge score was significantly increased after intervention of the package among higher secondary school girls.Birat Journal of Health Sciences 2016 1(1): 13-19


Author(s):  
P. Jegin ◽  
S. Subbulakshmi ◽  
M. Dinesh Kumar ◽  
J. Dayana ◽  
E. Elakiya

Back ground: An experimental study was conducted to assess the effects of instructional teaching programme (ITP) on knowledge and practices of mothers regarding prevention of pneumonia in children, Pooncherry, Chengalpattu District, Tamil Nadu, India.Objectives of the study were to assess the effectiveness of ITP on prevention of pneumonia on level of knowledge and practices among mothers of under five children. Materials and Methods: Non probability purposive technique was adopted for this study. Samples who met inclusion criteria were participated in the study. Self-structured interview schedule for knowledge  and structured rating scale for practices were used to collect the data. Results: The study results shows that in the pre test 15.13 % of the mothers had adequate knowledge, 24.34 % of the mothers were had moderately adequate knowledge and 60.53 % of the mothers had inadequate knowledge and  and in post test 63.17% of mothers were had adequate knowledge, 28.94% of the mothers had moderately adequate knowledge and very few (8.55% ) mothers had inadequate knowledge. Pre test practices score shows that 63.82 % of the mothers had less desirable practice, 22.37% of the mothers had moderate desirable practices and 13.81% were had highly desirable practices whereas in the post test 63.82% of them had highly desirable practice, 23.03% of them had moderate desirable practices and 13.16% of them had less desirable practices. The mean pretest knowledge score was 5.45 ± 1.47 and the mean posttest knowledge score was 8.49 ± 0.71 and the t value was 15.17, it shows that statistically there was an improvement in the post test knowledge score. The mean pretest practice score was 22.38 ± 2.76, the mean posttest practice score was 43.64 ±1.97 and the t value was 13.35, it shows that statistically there was a significant improvement in the post test practice score. The instructional teaching programme on prevention of pneumonia was statistically effective in promoting the knowledge and desirable practices among mothers.


Author(s):  
Ghaida Aziz, Ghaida jabri, Ghaida Al-Ahmadi, Mona Ehab, Marw

Breast feeding (BF) is known to have many advantages but our Arab region has a pattern similar to western countries; where exclusive breastfeeding less than 35%. Knowledge given to women during her antenatal visits plays an important influential role in her attitude and practice of BF later on.  Objective: To explore knowledge and attitude of female medical students at Taibah University about breastfeeding.  Methods: A Cross sectional study was carried out from October to November 2012. It included female medical students. Stratified sampling allocation technique was used; with a total sample of 149 students. A specialty designed self-administrated questionnaire in Arabic form was used. It included socio-demographic data, obstetric history, data about the knowledge and attitude of female medical students towards breastfeeding value and guidelines. Mean percent knowledge score for value of BF, mean percent score for BF guidelines and mean percent score for attitude were calculated. Appropriate statistical tests for qualitative and quantitative data were used accordingly. Results: Majority (91.9%) (of the studied sample) was never married and 37.6% got their knowledge about BF via books. Regarding ever married women, 58.3% only were gravid (mean =2.2±1.94). Only 25.0% were family planning users; 66.7% of them used hormonal contraceptives. Only 20% breast fed their infants with a mean duration for exclusive BF of 3.8 ± 2.87 months and mean age of weaning of 2.3 ±0.63 months. The mean knowledge percent score for guidelines of BF was 64.7±8.45. The mean attitude percent score for concepts related to BF was 76.9±7.91. Conclusion: Media and internet have minor roles in getting knowledge about BF. The mean knowledge score about advantages of BF, guidelines of BF and attitude towards BF of all female medical students; especially academic years were unsatisfactory.


Author(s):  
Krutarth R. Brahmbhatt ◽  
Amul B. Patel

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.  


Author(s):  
S. Deepa ◽  
Twinkle Agrawal ◽  
Teny Attokaran ◽  
Farah Naaz Fathima ◽  
Avita Rose Johnson

Background: Millions of women face significant barriers in menstrual hygiene management due to inadequate awareness, misconceptions and erroneous practices. The objectives of the study were to assess the awareness, perceptions and practices regarding menstruation and their associated factors among youth of a peri-urban college in Bangalore Urban district.Methods: A cross-sectional study was conducted among both male and female students studying in a degree college. A pre-designed, face-validated structured questionnaire was administered to all students present on the day of the study.Results: Of the 758 students, 372 (49.1%) were male and 386 (50.9%) were female. The mean age was 19.35±1.40 years. A consolidated score above 50% i.e. 07/14 was considered adequate for knowledge. The mean knowledge score was 7.51±2.52. Overall 389 (51.3%) students had adequate knowledge. Awareness levels were significantly better among females (72.3%) than males (29.6%). Among the female students, 384 (99.5%) were aware of sanitary napkins, 165 (42.7%) of menstrual cup, 12 (3.1%) of tampon and 254 (65.8%) of reusable cloth, however majority (96.9%) preferred use of sanitary napkins. Among the female students, 42.6% were expected to follow some social and cultural restrictions during menstruation. Main source of information regarding menstruation and various menstrual products was internet. Misconceptions documented regarding menstruation included the belief that menstrual blood is poisonous (75.2%). Positive attitude towards menstruation was low both among male students (21.5%) and female students (48.4%).Conclusions: Awareness levels were poor among males than females. Practices regarding menstrual hygiene were adequate. However, misconceptions were widely prevalent among both genders indicating the need for health education among college-going childhood.


2015 ◽  
Vol 5 (2) ◽  
pp. 1-5
Author(s):  
G P Dhungana ◽  
R M Piryani ◽  
M L Chapagain ◽  
M Neupane

Teaching and learning are equally important for the teacher. For teaching to be effective, whereby participants learn better, training of teachers is imperative. Teacher’s training is one of the important aspects of faculty development at Chitwan Medical College (CMC) and this study was done to assess the effectiveness of the teachers’ training pre test, post test experimental group design. In pre test, only 5.6% of the participants had adequate knowledge whereas after teacher’s training, 27.7 % had adequate knowledge. The mean (±SD) knowledge score before and after the intervention was 26.7±5.6 and 33.6 ± 5.6 respectively. The percent change in knowledge after intervention was 25.8 was statistically significant p value <0.001 .Which suggesting that the teachers’ training was an effective intervention.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Dereje Mesfin

Abstract Background Ethiopia is one of the sub-Saharan African countries with high maternal mortality and morbidity, unsafe abortion and adolescent births. Despite different policy measures taken by the government to improve sexual and reproductive health among adolescents their success is not well studied in Ethiopia. The objective of this study is to explore emergency contraceptive related knowledge, practice and its determinants among secondary school students in southern Ethiopia. Methods An institution-based cross-sectional study was conducted in selected high schools of Wolkite town, Southern Ethiopia from December to November 2019. Single population proportion formula was used to calculate sample size. A total of 327 female students participated in the study with a total response rate of 97%. Data were collected using a self-administered, structured questionnaire and cleaned, entered and analyzed using Statistical package for social science software version 21. Result 153 (54.8%) of the study participants had good knowledge about emergency contraceptives and only (40.5%) of sexually active participates used emergency contraceptives after unprotected sex. Type of admission and grade level of participants and discussion of reproductive health related issues with parents were significantly associated with good knowledge of Emergency contraceptive. Having partner and grade level of students were among the significant determinants of emergency contraceptive utilization. Conclusion The study showed an acceptable level of emergency contraceptive knowledge but only less than half of sexually active respondents used emergency contraceptives. To prevent unintended pregnancy among secondary school students sexual and reproductive health education should be given to students starting from their enrollment. Furthermore, parents should be encouraged to freely discuss sexual and reproductive health matters with their children.


2020 ◽  
Vol 8 (2) ◽  
pp. 18-24
Author(s):  
Dilli Bahadur Pun ◽  
Bobby Thapa ◽  
Prashanna Shrestha ◽  
Sonam Chaudhary ◽  
Nashib Pandey ◽  
...  

Background and Objectives: Survival after cardiopulmonary arrest depends on early and effective cardiopulmonary resuscitation (CPR). Demand for courses of basic life support (BLS)/CPR is increasing worldwide. Till date, there have been little reports regarding CPR knowledge and attitude among the Nepalese dental health personnel. This study aimed to assess the knowledge and attitude towards CPR among undergraduate dental students, interns and postgraduate residents studying at Kantipur Dental College and Teaching Hospital (KDCH), Kathmandu, Nepal. Material and Methods: A descriptive cross-sectional study was conducted among 243 dental students studying at KDCH. Data was collected through a self -administered semi-structured questionnaire. Collected data was organized, recorded, coded and then analyzed using Statistical Package of Social Science (SPSS) version 16. Descriptive statistics was used to compute mean, percentile, standard deviation and one way ANOVA test was done to compare the mean knowledge score between different academic levels of the students at 95% level of significance. Results: The mean knowledge and attitude score towards CPR among the dental students was 8.05±2.85 and 4.63±0.51 respectively. Out of total students, only few (5.8%) had adequate knowledge whereas all (100%) had a positive attitude towards CPR. The mean score for the pre-clinical students (7.26 ±2.38) was significantly (p=0.001) lower than clinical students (8.44 ±3.23), interns and residents (8.85 ±2.54). Conclusion: The present study showed inadequate knowledge regarding CPR among dental students of different academic levels but they have a positive attitude towards it. The integration of CPR in the early year of the curriculum along with regular training of CPR in succeeding years will enhance their knowledge.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1600
Author(s):  
Samantha Yun-Kai Poon ◽  
Jason C. Hsu ◽  
Yu Ko ◽  
Shao-Chin Chiang

Despite the first approval of biosimilars’ in 2010, biosimilar products usage has remained low in Taiwan. This cross-sectional survey study assessed healthcare professionals’ (HCPs)—hospital pharmacists, oncologists, and rheumatologists—knowledge, and attitudes toward biosimilars. More precisely, their knowledge and attitude towards biosimilars’ current usage and regulations in Taiwan were analyzed. The mean ± standard deviation knowledge score was 2.56 ± 0.86 out of 4 (n = 395), and a difference in knowledge score was determined according to the hospital types (p = 0.004). Rheumatologists possessed significantly higher confidence in their knowledge of biosimilars than other HCPs (p = 0.001). Pharmacists showed the highest acceptance—and rheumatologists the least—for switching patients from reference drugs to biosimilars (p = 0.02). Hospital type was associated with the respondent’s confidence in their knowledge (p = 0.04) and the preference for distinguishable naming of biosimilars (p = 0.007). Their knowledge scores were associated with their confidence in the efficacy and safety of biosimilars (p = 0.02). The study found that the current level of biosimilar knowledge of HCPs in Taiwan is low. The higher the knowledge score, the greater the confidence in biosimilars and the familiarity with relevant regulations.


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