scholarly journals A STUDY ON SOCIO-DEMOGRAPHIC DETERMINANTS CAUSING ANEMIA IN ADOLESCENT GIRLS IN THE FIELD PRACTICE AREA OF URBAN HEALTH TRAINING CENTRE, RVRS MEDICAL COLLEGE, BHILWARA.

Author(s):  
Mahesh Kumar Choudary ◽  
Manmohan Gupta ◽  
Rachit Saxena ◽  
Sandeep Kumar Uppadhaya

Background: Prevalence of anemia is higher in girls in low socioeconomic status; In addition it gets precipitated by blood loss during menstruation. Anemia in adolescent girls in future attributes to high maternal mortality rate, high incidence of low birth weight babies, high perinatal mortality and fetal wastage. Methods: This was cross-sectional study. All the adolescent girls studying in standards 9th - 12th class who were given consent to hemoglobin estimation were included in the study. The girls ≥20 years, and those suffering from any chronic disease were not included in the study. A total of 400 girls were interviewed and were investigated for their Hemoglobin concentration. A predesigned and pretested schedule was used to collect the information about the participants. Results: Most of the girls i.e.388 (97%) belonged to the socioeconomic class II, III, IV. The association between SES and anemia was found statistically significant. The association between mother education and anemia was also found statistically significant but association between type of family and anemia was also found statistically Insignificant. Conclusion: Nutrition education along with nutritional supplementation and iron folic acid tablets should be provided to all girls. Key Words: Adolescent Girls, Anaemia, Socio-Demographic Characteristics, Education

Author(s):  
Garima Gupta ◽  
Pinky Dhariwal

Background: The prevalence depends on the socio demographic conditions, food intake patterns, cultural beliefs and is quite heterogeneous across the country Methods: This was cross-sectional study. A total of 100 girls were interviewed and were investigated for their Hemoglobin concentration. A predesigned and pretested schedule was used to collect the information about the participants. Results: The association between SES and anemia was found stastically significant. The association between mother education and anemia was also found stastically significant but association between type of family and anemia was also found stastically Insignificant. Conclusion: Nutrition education along with nutritional supplementation and iron folic acid tablets should be provided to all girls. Key Words: Adolescent Girls, Anaemia, Socio-Demographic Characteristics, Education


2021 ◽  
Vol 12 (1) ◽  
pp. 48-52
Author(s):  
Priyanka Kumari ◽  
Nisha Kumari Ojha

Globally anemia accounts for a majority of the nutritional problem and it is principally engendered by deficiency of iron. Its prevalence is inordinately higher among developing nations, because of low socioeconomic status and poor access to healthcare services. In developing countries, the adolescent group is more exposed to nutritional challenges and adolescent girls are more vulnerable to the disease. This survey is intended to evaluate the prevalence of anemia and its associated factors among adolescent girls in age group of 12-15 year in Jaipur district, this survey also generated the anemic cases in the adolescent girls of age 12-15 year. A cross sectional study was conducted from August 2019 to January 2020 by attending health check-up camps at various areas situated within 20 kilometers in Jaipur district. Hemoglobin estimation was done by using three-part auto analyzer method. Statistical analysis was done using Percentages and Chi-square Test. 75.39% girls were found anemic. Statistically significant association (p < 0.05) was found in anemia in adolescent girls with the history of receiving iron folic acid (IFA) supplementation, deworming, age, habitat, family type and status of menarche. Present study reveals that 75.39% girls were found anemic and the problem is significantly associated with status of IFA supplementation, deworming and family type.


2021 ◽  
Vol 8 (2) ◽  
pp. 120-124
Author(s):  
Saraswati V Sajjan ◽  
Neeta P N ◽  
Poonam P Shingade

Adolescence is the significant period in the life of a woman. Menstrual disturbances are the commonest presenting complaint in adolescent age group and unhygienic practices during menstruation can lead to untoward consequences like pelvic inflammatory disease and even infertility. To study the knowledge and practice regarding menstrual hygiene among adolescents. This is a cross-sectional study conducted from October 2018 to December 2018 among 100 adolescent girls who attended adolescent clinics at Urban Health Training centre of KBNU Medical College, Kalaburagi. The mean age of participants was 16.2 ± 2.1 SD. only 26% of participants were aware about menstruation before menarche. Majority (91%) of participants had knowledge about use of sanitary pads during menstruation but only 78% used them. The most common reason for non usage was the cost of pads (68%). The method of disposal was satisfactory among 62% of participants and 84% of participants change their pads /cloth pieces 2-3 times per day. Restriction of diet during menstruation was seen in 40% and 30% missed school during their periods. Although there was good knowledge regarding menstrual hygiene among adolescent girls, practice needs to improve. Health education sessions at urban health clinics and schools involving mothers of these adolescent girls can aid to overcome socio cultural practices of restricting movement and diet restrictions during menstruation.


2021 ◽  
Author(s):  
DEYGANTO GELEBO ◽  
MATHEWOS GEBREMICHAEL ◽  
GISTANE ASALE ◽  
DESSALEGN BERBADA

Abstract Background: Under nutrition during pregnancy is an important public health problem. It is highly prevalent in Ethiopia but not sufficiently addressed yet. Hence, this study aimed to assess the prevalence of under nutrition and its associated factors among pregnant mothers in Konso district, Ethiopia. Methods: Community based cross-sectional study was conducted with qualitative inquiry study from December 2018 to January 2019. A multistage stratified sampling technique was used to select 527 subjects. Quantitative data were collected using pretested structured questionnaire. The qualitative data were generated through two focus group discussions among purposely selected discussants. Mid upper arm circumference (MUAC) was measured by standard non stretchable MUAC tape. Data were entered into Epi-data version3.1 and analyzed by SPSS version 21. In multivariable binary logistic regression statistically significant association was declared at p-value < 0.05 while thematic framework analysis was employed for the qualitative data. Results: Among 501 participants, the overall prevalence of under nutrition was 43.11% (95% CI 38.76%-47.47%). Family food insecurity (AOR = 3.1; 95%CI: 2.1-4.6), low dietary diversity score (AOR = 4.9; 95%CI: 2.6-9.2), medium dietary diversity score (AOR = 2.3; 95%CI: 1.2-4.7), absence of latrine (AOR = 1.8; 95%CI: 1.2-2.6) and having family resource decision making by husband only (AOR = 1.7; 95%CI: 1.1-2.6) were significantly associated factors. Traditional believes to restrict food such as egg, milk and milk products, avocado for women, weak nutrition education and malnutrition screening program, daily consumption of locally prepared alcoholic drink called ”Cheka”, draught prone nature of this setting, 2 traditional way of farming practices and low socioeconomic status were found to be barriers for women"s under nutrition. Conclusions: The prevalence of under nutrition was found to be higher than previously reported findings. Food security, dietary diversity, latrine availability, family resource decision making, food restrictions, weak maternal nutrition education and malnutrition screening program, practice of depending on local alcoholic drink called “Cheka”, draught, traditional way of farming and low socioeconomic status were identified factors. Hence, interventions targeting maternal nutrition education, hygiene and sanitation promotion, house hold food insecurity improvement strategies should be implemented to improve nutritional status of pregnant women.


Author(s):  
Sumaiya Ahmad ◽  
Pratibha Gupta ◽  
Ruby Khatoon ◽  
Zeashan Haider Zaidi ◽  
Raghunath Sahai

Background: Nutritional anemia is worldwide problem with highest prevalence in developing countries. Causes of anemia are inadequate intake and poor absorption of iron, malaria, hookworm infestation, diarrhea, heavy menstrual blood flow etc. It involves population of all age group and sex. But adolescent are more vulnerable to it. The objective of the study was to find prevalence of anemia amongst adolescents attending rural health and training Centre of Era’s Lucknow Medical College and Hospital.Methods: This cross-sectional study was carried out in the Rural Health Training Centre (RHTC), Era’s Lucknow Medical College. All the adolescents attending OPD at RHTC for any health problem were included in the study. Study period was about one year i.e. from November 2016 to October 2017. Blood sample was collected for hemoglobin estimation. Hemoglobin estimation was done by Sahli’s hemoglobinometer. Hb criteria were taken according to WHO standard.Results: The overall prevalence of anemia was 55.1 % for both males and females. 64.7% of the females and 32.5 % of the males were anemic. The proportion of mild anemia was 55.6% (53.9% in females and 68.1% in males), moderate anemia was 33% (35.2% in females and 25% in males) and severe anemia was 11.2% (10.7% in females and 6.8% in males).Conclusions: Anaemia was significantly higher in females in comparison to males in moderate and severe category. There is need to develop strategies for intensive adult education, nutrition education and dietary supplementation and anemia prophylaxis.


Author(s):  
Preeti Gupta ◽  
Jini Gupta ◽  
Govind Singhal ◽  
Bharat Meharda

Background: To achieve the goal of Millennium Development Goal 2 (universal education), 3 (gender equality and women empowerment) and, 5 (improving maternal health), it is important that there is effective menstrual hygiene and knowledge among adolescent girls since it has direct and indirect effects both to achieve the MDG and to promote the reproductive health. A study was carried out among the school going adolescents in UHTC (Urban Health Training centre) and RHTC (Rural Health Training centre) area of Department of Community Medicine, Government Medical College, Kota, Rajasthan with the following aims and objectives, Status of knowledge of school going adolescent girls about menstruation and their practice during menstruation. The objective of the study was to assess the knowledge and practices regarding menstruation among school going adolescents.Methods: It was a school based descriptive cross sectional study conducted from November 2016 to March 2017. The school was selected randomly in RHTC and UHTC area of GMC, Kota. A pretested and structured questionnaire was used. Data was entered, processed and analyzed using SPSS version 20. Results: In this study there were 300 girl students (150 each from RHTC and UHTC area schools), of which 55.33% had menarche at the age of 13 years, 66.00% of girls were aware about menstruation before the menarche whereas 91.67% of girls heard about the sanitary napkins, most of the girls (81.00%) had got the knowledge about menses from their mother, 62.67% of girls heard about the menstrual hygiene and for practices observed, 65.67% girls were using sterilized sanitary napkins and 42.00% of girls burn the waste material. Conclusions: Traditional beliefs regarding menstruation still persist and menstrual hygiene among the adolescents was found to be unsatisfactory. It highlights the need of targeted interventions to raise awareness and provision of family health education package to all girls. Menstrual hygiene is an issue that needs to be addressed at all levels. 


Author(s):  
Shubhanshu Gupta ◽  
Sanjeev Kumar ◽  
Piyush D Swami ◽  
Anjana Niranjan

Background: According to World Health Organization, adolescents constitute about one fifth of the world population, and in India they constitute about 21% of the total population. Most of the surveys show that health status of adolescent girls is at sub-optimal level. Objectives: To assess nutritional status and morbidity pattern among the adolescent girls and to suggest measures for improvement of health status of adolescent girls.  Method: A community based cross-sectional study was carried out among 250 adolescent schoolgirls in Rural and urban field practice area of Jhansi school from January 2017 to July 2014. Results: Among the various morbidities eye problem was seen in maximum no of adolescent girls. Eye problem was present in 44.8% of adolescent girls followed by respiratory 14.7% and ear 13.06% disease. Skin disease was present in 3.2% of adolescent girls, which was more in rural girls 6.7% than in urban girls 1.7%, may be due to better hygienic practice in urban schoolgirls. Conclusions: Rural background, low socioeconomic status, illiteracy, birth rate and order, income and number of members in a family have shown to be significant determinants of morbidity pattern in the adolescent girls. Keywords: Adolescent, anemia, morbidity, vaginal discharge.


Author(s):  
Sambedana Mohanty ◽  
Manasee Panda

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.


Author(s):  
Neerja Agarwal ◽  
Nutan Soni ◽  
S. P. Singh ◽  
G. P. Soni

Background: Adolescent age group among girls have been recognized as a special period which signifies the transition from girlhood to womanhood. Menstruation is generally considered as unclean in the Indian society. Most of the adolescent girls had incomplete and inaccurate information about the menstrual physiology and hygiene as reported by many Indian studies. Very few authors have included the detailed aspects of the menstrual practices among adolescent girls.Methods: The current Community based cross sectional study was conducted by department of obstetrics and Gynaecology in connection with department of community medicine, Raipur Institute of Medical Science, Raipur (C.G), India. Among the adolescent school going girls in the field practice area of the Rural Health Unit and Training Centre during study period of 6 month from July 2017 to December 2017. 263 girls from the above mentioned schools, of the 8th and 9th standards, were selected for the study.Results: Majority of the school going adolescent girls belongs to 13 and 14 year of age. 50.95% , 21.67% and 12.93% girls reported that they had their menarche at the age of 13 year, 12 year and 14 year respectively. Majority of the girls were using cloth (49.81%) and only 17.87% were using sanitary napkins. Cleaning of external genitalia was not satisfactory in 32.70% of the girls. Only 58.17% girls used both soap and water for cleaning the genitalia. Pain in abdomen (59.70%) was found to be the most frequent complaint during menstruation.Conclusions: Knowledge on menstruation is sub-optimal and the practices are unacceptable for proper hygiene among study subjects. Menstrual hygiene is an important issue needs to be ensured.


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