scholarly journals CHILDHOOD IMMUNIZATION AMONG INTERNALLY DISPLACED PERSONS (IDPS) OF UNDER FIVE-YEARS FROM NORTH WAZIRISTAN AGENCY, PAKISTAN: A CROSS SECTIONAL STUDY

1970 ◽  
Vol 6 (4) ◽  
pp. 36-40
Author(s):  
Shezina Sultan Ali ◽  
Ejaz Ahmad Khan ◽  
Mudassar Mushtaq ◽  
Mujib Ur Rahman

BACKGROUND: Immunization is an important and cost effective public health tool for controlling Vaccine Preventable Diseases (VPDs) among children. Developing countries have low level of immunization coverages. This is further compromised during armed conflicts and disasters with displacement of vulnerable populations leading to VPDs outbreaks. Tribal areas of Pakistan have been subjected to armed conflict for a long time with massive population displacement. METHODS: We conducted a cross sectional survey to assess the vaccination status of child under five of the Internally Displaced Persons (IDPs) of North Waziristan Agency (NWA) of Pakistan. We used a structured questionnaire to collect information from the caregivers in the IDP camp of Bannu, Khyber Pakhtukhwa. RESULTS: Overall immunization coverage was very low. Out of 480 children under 5 years, less than one-third (30.6%) were vaccinated against BCG, about a quarter (27.7%) had received the Pentavalent and measles vaccines. However, OPV coverage was excellent mostly amid to polio mass campaigns. CONCLUSION: Routine immunization coverage among the IDPs of North Waziristan agency in Pakistan is extremely poor. There is a need to improve the coverage to optimum level to avert any potential VPD outbreaks.

2020 ◽  
Vol 8 (1) ◽  
pp. 263-274
Author(s):  
Izaddin Ahmad Aziz ◽  
Murat Yıldırım

Aim In general, conflict has many adverse effects on individuals’ lives. The purpose of this study was to examine the relationship between psychological trait resilience and forgiveness among internally displaced persons (IDPs). Method The sample consisted of 244 IDPs (111 males and 133 females) who have been exposed to various stressful situations. Age of participants ranged between 18 and 60 years (M = 32.63 years, SD = 8.18). Psychological Trait Resilience Scale and Enright Forgiveness Inventory were used through a cross-sectional study to collect data. Results The results showed that IDPs reported low levels of resilience and forgiveness. The results also indicated that ecological resilience was positively related with emotional, behavioral, and cognitive forgiveness, while engineering resilience was positively related with emotional and cognitive forgiveness. Adaptive resilience was found to be positively related with emotional forgiveness. Regression analysis indicated that ecological resilience uniquely predicted emotional, behavioral, and cognitive forgiveness after controlling for demographic characteristics. Conclusion These results suggest that higher levels of resilience are important for forgiveness among IDPs. Interventions aiming to enhance IDPs’ forgiveness should account for psychological trait resilience.


Author(s):  
Mohammed Abdelkrim Adam Abdelmalik ◽  
Abdalbasit Adam Mariod ◽  
Mohamed Adam Beraima ◽  
Hammad Ali Fadlalmola ◽  
Eltagi Elsadeg Sulliman Rahama ◽  
...  

Background: The lacking healthcare system services in conflict areas and the emergence of infection with a pandemic of coronavirus disease may exacerbate the humanitarian crisis among the camp residents in the central Dafur region of Sudan. Adequate knowledge and practices are vital to prevent coronavirus disease 2019 (COVID-19). Therefore, this study aimed to investigate the knowledge and practice regarding COVID-19 among internally displaced persons in Sudan. Methods: In this cross-sectional study, data were collected through an online survey using a self-administered questionnaire. Convenience sampling method was used for the internally displaced persons in two camps of Zalingei town, central Darfur region, Sudan. Results: In total, 143 participants responded; 75 (52.4%) of them were female, while 68 (47.6%) were male; 49 (34.3%) were between the age of 50 and 60 years; 78 (54.5%) were formally uneducated; 126 (88.1%) did not have a chronic disease; and 56 (39.2%) knew about COVID-19 from their relatives and friends. The overall mean of participants’ knowledge toward COVID-19 was 3.68 (SD ± 0.60(, denoting good with a rate of 73.6% and that of the practice was 2.65 (SD ±1.08), denoting moderate with a rate of 53%. A positive correlation was seen between knowledge and practice (r = 0.700, p < 0.000). Statistically significant differences were observed between the mean score of knowledge and practice with age, education, and information sources (p < 0.0001). While graduates showed a higher knowledge (116.29, p = 0.000), secondary respondents showed a higher practice (115.04, p = 0.000) than others. Conclusion: This study suggests educational intervention and awareness programs for uneducated and older people.


2020 ◽  
Author(s):  
Mohamed Hayir Tahlil Mohamud ◽  
Lul Mohamud Mohamed ◽  
Mohamed Ali Magan ◽  
Mohamed Abdulkadir Mohamud ◽  
Abdishakur Abdukadir Muse

Abstract Background: Immunization is amongst the most cost effective public health interventions for reducing global childhood morbidity and mortality. However globally 9 million deaths of children occur as a result of vaccine-preventable disease, a bigger proportion occurred in sub-Saharan Africa which was 4.4 million. Therefore, this study aimed to assess barriers for complete vaccination coverage among under five years children in Mogadishu, Somalia. Methods: A community based Cross-sectional study was conducted in between April to July, 2019 in Mogadishu-Somalia. Two-stage cluster sampling with systematic random sampling was used to select a sample of 820 households. Data was collected through structured, interviewer administrator questionnaire. In case more eligible children found at single selected household, one child was randomly selected and the information related to immunization was interviewed from his/her caregiver. Results: the overall, fully vaccinated under five years children was found to be 45.2%. Immunization was found to be increased by being a younger caregiver (β = -0.019, P-value=0.042), being married caregiver, being Father with Secondary & above education (AOR=1.755, 95% CI=1.161-2.655, P-value =0.008), being a young child (β = -0.018, P-value=0.011), being children from birth order of fifth & above (AOR=1.539, 95% CI=1.011-2.343, P-value=0.044), Married caregiver (AOR=0.244, 95% CI= 0.063-0.94, P-value=0.041), increased Household monthly family income= (β = 0.003, P-value=0.000), Availability of vaccine at the time of visit (AOR =6.147, 95% CI=1.943-19.441, P-value=0.002), Cost affordability of vaccine =( AOR =1.951, 95% CI=1.238-3.076, P-value=0.004), Being born at health facility (AOR =1.517, 95% CI=1.104-2.086, P-value=0.010), having good Knowledge on immunization (AOR =1.125, 95% CI=1.070-1.181, P-value=0.001), having good Practice on immunization (AOR =2.756, 95% CI=2.233-3.402, P-value=0.001) and having good Perception on vaccine (AOR =4.976, 95% CI=2.183-11.340, P-value =0.001).Conclusion: In conclusion, the result of this study has revealed that the proportion of fully vaccinated under five children in Mogadishu is very low. Steps to promote Health education and vaccine availability should be lounged.


2020 ◽  
Vol 13 (1) ◽  
pp. 85-98
Author(s):  
Victor Chidi Onyencho ◽  
Sadique Kwajaffa Pindar ◽  
Abdu Wakawa Ibrahim ◽  
Anthony Ali Mshelia ◽  
Said Mohammed Jidda ◽  
...  

Displacement as a result of conflict or insurgency creates a permanent scar on the survivor with physical, psychological and social sequels; however personal factors play a significant role. Therefore, this study investigated personal factors as predictors of psychological distress among internally displaced persons in Maiduguri, Nigeria. In this cross-sectional study of survey type, the multi-stage sampling techniques were employed, and cluster sampling techniques were used to select two Internally Displaced Persons’ (IDPs) camps. Two hundred and one IDPs residing in the camps were selected using purposive sampling techniques. Their age ranged between 18 and 65 years (M = 37.2; SD = 1.6). The results of Multiple Regression analysis showed that personality traits and a demographic factor (sex) jointly predicted psychological distress among IDPs. The variables jointly accounted for 22% variation R2 = .215 on psychological distress.  Regarding the individual contribution, neuroticism ß = .166; t = 2.34; p .05, conscientiousness ß = -.233; t = -3.36; p .05, openness to experience ß = -.169; t = -2.45; p .05 and sex ß = -.352; t = 5.17; p .05 made a significant prediction on IDPs psychological disturbances. The findings of this study revealed that the personal characteristics of an individual had a predictive influence on psychological distress among IDPs in Maiduguri, Nigeria.


2018 ◽  
Vol 18 (1) ◽  
pp. 27-47 ◽  
Author(s):  
Adedeji Olushola Afolabi ◽  
Adedapo Oluwatayo ◽  
Opeyemi Oyeyipo ◽  
Rapheal Ojelabi ◽  
Olabosipo Fagbenle

With millions of internally displaced persons (IDPs) around the world, there is need to implement durable housing solutions post-conflict, that involves sustainable integration and sustainable reintegration using long term shelter programmes in the rural and urban areas. The study aims to assess designers’ assessment of post conflict housing schemes (PCHS) for internally displaced persons. Using a cross-sectional survey, the study utilized a questionnaire instrument distributed to one hundred (100) design professionals that have cognate field experience in the design, construction and management of post-conflict housing schemes. Statistical tools of bar chart, principal component analysis, categorical regression and one-way analysis of variance by SPSS v.21 was utilized. The study revealed that designers considered features such as external design and services, socio-cultural and space and maintenance features in the design of PCHS. Generalized factors considered in the selection of these features include demands of the household, choice/selection of building materials and population of IDPs. The study revealed that the failure of PCHS could be because of politics/partisanship, lack of international assistance/aid, need to make profit and non-involvement of IDPs in the rebuilding process, while the success of the scheme could be engendered by adequate participation of IDPs, effective monitoring mechanisms and increased government and non-governmental organizations’ (NGOs) participation. In conclusion, the study developed a framework for the design of PCHS for IDPs. The study recommended that professional designers should objectively consider the contributions and characteristics of IDPs in the design of PCHS. In addition, international bodies should increase pressure on government to increase commitment in re-settling IDPs. NGOs should not relent in their efforts.


2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Farman Ullah Khan ◽  
Zahid Asghar ◽  
Muhammad Khalid Tipu ◽  
Asim .ur. Rehman ◽  
Asif Khan ◽  
...  

Objective: This study was aimed to investigate adherence to TB treatment and outcomes among internally displaced patients in comparison with adjacent settled areas. Methods: The study was designed as an observational cross-sectional study among the TB patients of internally displaced populations (IDPs) of North Waziristan Agency (NWA) and adjacent settled areas of Bannu and Lakki Marwat (NIDPs). Based on the study inclusion and exclusion criteria 330 patients full filled the inclusion criteria and were assigned equally to both IDPs and NIDPs study groups. Odds ratio (OR) with 95% confidence interval was calculated and p-values, 0.05 were considered statistically significant. Results: The treatment outcomes with the status of “cured” and “completed treatment” were better among NIDPs as compared to IDPs. Patients with treatment outcome status of “defaulted treatment”, “without documentary evidence, and “failure” were high in IDPs as compared to NIDPs. Adherence to TB treatment was better among NIDPs (50.9%) as compared to IDPs (39.4%). The patients showing non-adherence to TB treatment were more among IDPS (27.3%) then NIDPs (10.9%). Conclusion: Overall the results of this study revealed a poor adherence to the TB treatment medications with an odds ratio of 0.286, (p<0.05) among IDPs as compared to NIDPs. doi: https://doi.org/10.12669/pjms.37.3.2992 How to cite this:Khan FU, Asghar Z, Tipu MK, Asim-ur-Rehman, Khan A, Tofeeq-ur-Rehman. Effect of displacement on Adherence to TB Treatment: An observational study in TB patients from Internally Displaced Persons of Pakistan. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.2992 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2019 ◽  
Vol 54 (10) ◽  
pp. 1265-1274
Author(s):  
Anson Cheung ◽  
Nino Makhashvili ◽  
Jana Javakhishvili ◽  
Andrey Karachevsky ◽  
Natalia Kharchenko ◽  
...  

Author(s):  
Ambika R. Bhaskar ◽  
Mridula Solanki

Background: Immunization is one of the most cost-effective interventions to prevent the suffering that comes from avoidable sickness, disability and death. Outreach immunization services ensure that immunization is available to children who are unable to access a general practice in a timely fashion for their immunization events. Effective supervision and monitoring will help in improving quality and coverage of immunization.Methods: This was an observational cross-sectional study conducted in the rural field practice area of a tertiary care hospital. 50 outreach sessions held in various outdoor places including Anganwadi were supervised and monitored using checklist. 110 mothers and 20 stakeholders were interviewed. Immunization records were assessed.Results: Outreach immunization sessions were found to be of good quality. 89% children were fully immunized. ANMs and ASHAs were of the opinion that outreach session has significantly raised immunization coverage. 75.4% mothers had knowledge about services provided by outreach sessions.Conclusions: There was increase in immunization coverage due to outreach sessions. There is need for adequate supervision on safety injection practices and regular timely incentive to ASHA.


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