scholarly journals Sexual History Taking Competency: A Survey among the Clinicians in Bangladesh

2016 ◽  
Vol 1 (1) ◽  

Introduction: Sexuality is a hidden topic and not talked much in countries like Bangladesh with strong cultural & religious myths and having health seeking behavior of availing traditional healers and lack of specialized service center. Objective: It was aimed to see how often the clinicians ask about sexual issues in their clinical practice; the level of comfortability in inquiring about sex related problems and the opinion regarding sexual health services. Methods: A descriptive, observational, cross sectional analysis was carried out on willing clinicians who attended seminars on sexual dysfunction in Bangabandhu Sheikh Mujib Medical University. The data were collected by predesigned selfreporting questionnaire from clinicians attending in 3 different occasions at the same venue from 560 respondents as 125 in first round, 166 in second round and 269 in the third round. Nonprobability purposive consecutive sampling technique was chosen and data were analyzed by Statistical Package of Social Science (SPSS) 16.0 and Microsoft Excel 2007 version software. Results: At first round 53.6% were comfortable and 35% were uncomfortable asking sexual history with 26% facing discomfort asking, 12% uncomfortable with extreme age, and 12% with fear of offending the patients. In second round 42% clinicians were uncomfortable asking sexual history. In 3rd round survey, 37% of the respondents were uncomfortable to ask sexual history. Majority of the respondents (95%) agreed specialized set up should be established for patients with sexual dysfunction. Conclusion: Its first ever survey on clinicians of different discipline who are interested to deal with patients with sexual dysfunction with outcome recommendation of specialized set up for patients with sexual dysfunction.

2015 ◽  
Vol 4 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Dewa Adhikari ◽  
Dagendra Rijal

Objectives To determine the health status and the factors affecting health seeking behavior of the senior citizens aged 60years and above.Materials and methods A descriptive cross-sectional study based on household survey was adapted. The sample consisted of 400 senior citizens resident of Dharan. Simple random sampling technique was employed to select the study subject. Individuals were interviewed through self- developed semi-structured pre-tested questionnaires. Descriptive and inferential statistics (chi-squire test) were used.Results Among 400 respondents, the most frequently reported illness were hypertension(29.3%), diabetes mellitus (8.3%), arthritis/joint pain (24.8%), eye problems (19.0%), hearing problems (3.3%), oral health problems (17.5%), digestive system problems (17.8%), respiratory problems (11.0%), heart disease (3.8%), renal problem (5.3%), skin diseases (7.5%), tuberculosis (3.0%), liver disease (3.0%), mental illness (5.75%),fracture (1.0%), Gynecological problems (7.3%) and male genital (6.3%) problems were also noted. Faith healers were the first treatment choice (97.2%) irrespective of age, gender or ethnicity. After that they visited BPKIHS (36.3%), private practitioner (26.3%), self treatment (11.3%) and self drug-use (6.8%). Half of the respondents utilized formal health institutions only in major chronic conditions. Poverty emerged as a major determinant of health seeking behavior and treatment was considered waste of money (indirect effect 64%) and lack of money (35 .5%) followed by poor attitude of health worker (41%).Conclusion The use of faith healer as first treatment provider, self-treatment, drug over counter shop were indicative factors of the inefficient utilization of health facilities in meeting the health needs of the senior citizens, were ranked the major determinants of factors affecting health seeking behavior of the senior citizens. Journal of Nobel College of Medicine Vol.4(1) 2015: 57-63


2014 ◽  
Vol 3 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Dewa Adhikari ◽  
Dagendra Prasad Rijal

Objectives: To determine the health status and the factors affecting health seeking behavior of the senior citizens aged 60years and above. Materials and methods: A descriptive cross-sectional study based on household survey was adapted. The sample consisted 400 senior citizens resident of Dharan. Simple random sampling technique was employed to select the study subject. Individuals were interviewed through selfdeveloped semi-structured pre-tested questionnaires. Descriptive and inferential statistics (chisquire test) were used. Results: Among 400 respondents, the most frequently reported illness were hypertension(29.3%), diabetes mellitus(8.3%), arthritis/joint pain(24.8%), eye problems(19.0%), hearing problems(3.3%), oral health problems(17.5%), digestive system problems(17.8%), respiratory problems(11.0%), heart disease(3.8%), renal problem(5.3%), skin diseases(7.5%), tuberculosis(3.0%), liver disease(3.0%), mental illness(5.75%),fracture(1.0%), Gynecological problems(7.3%) and male genital (6.3%) problems were also noted. Faith healers were the first treatment choice (97.2%) irrespective of age, gender or ethnicity. After that they visited BPKIHS (36.3%), private practitioner (26.3%), self-treatment (11.3%) and self-drug-use (6.8%). Half of the respondents utilized formal health institutions only in major chronic conditions. Poverty emerged as a major determinant of health seeking behavior and treatment was considered waste of money (indirect effect 64%) and lack of money (35 .5%) followed by poor attitude of health worker (41%) DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10055   Journal of Nobel Medical College Vol.3(1) 2014; 50-57


2021 ◽  
Vol 21 (2) ◽  
pp. 912-918
Author(s):  
Adebolajo Adeyemo ◽  
Segun Ogunkeyede ◽  
Oluyinka Dania

Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to pre- ventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four partici- pants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Com- mon complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare. Keywords: Hearing loss; healthcare delivery; disease burden; ear diseases; developing countries.


Author(s):  
Amrita Kumari Konar ◽  
Rangala Venkata Manasa

Background: Dengue/dengue hemorrhagic fever is an emergent disease in India. It is a mosquito-borne viral disease. The aim of this study is to assess the knowledge, attitude and practice regarding dengue among households in urban slum area and to find out the health seeking behavior of respondent during first episodes of fever. Methods: This study was a descriptive cross sectional study undertaken in field practice area of UHTC of GITAM institute of medical science, Visakhapatnam, Andhra Pradesh. The sampling technique was two stage simple random sampling. Face-to-face interview based on a pre-designed and pretested questionnaire. The data was compiled and analyzed.Results: Out of total 262 individual were interviewed, 69.8% were aware about dengue. The major source of information was TV/radio (74.4%). The most common health seeking behaviour for first episode of fever was nearby UHTC and then government hospital.Conclusions: The knowledge and awareness regarding dengue was satisfactory in the study population but the knowledge about the mode of transmission and breeding habit is still lacking. More awareness campaign and health education will improve. 


Author(s):  
Sanghamitra Ray ◽  
Rajesh Kumar Meena ◽  
Hariom Kumar Solanki ◽  
Prakash Chand Jain

Background: India has a high burden of under five mortality. Faulty feeding practices and mortality due to vaccine preventable diseases is a major hurdle. Objective was to assess breast feeding practices and vaccination status of children of less than 5 years by age and its correlation with socio-demographic profile.Methods: This was a cross- sectional descriptive study involving children of nine months to five years.Results: Health seeking behavior in terms of adequate antenatal checkup and institutional deliveries was quite high; but only one third of children had early initiation of breast feeding and the main reason was delay in rooming-in. Early breast feeding had significant correlation with the greater duration of breast feeding and the duration of exclusive breast feeding was significantly associated with the literacy status of mother. Only 34% of children were vaccinated on time and frequent migration was the cause of delay in 25%. Ground level workers were the main source of information regarding vaccination in this study population.Conclusions: Feeding practices were not satisfactory. Institutional fallacies also came into focus such as delayed rooming-in. Awareness regarding vaccination was inadequate and was incomplete in majority of children. General awareness and health seeking behavior of our community still need enhancement to a great extent.


2020 ◽  
Author(s):  
Ayenew Addisu ◽  
Habtamu Gebre ◽  
Sara Tesfaye ◽  
Mola Zewdu ◽  
Meseret Birhanie

Abstract Background Intestinal parasitic infections are the most serious medical and public health problems in developing countries. In Ethiopia, intestinal parasites are among the top ten causes of morbidity, especially in children. The aim of this study was to assess the prevalence and associated factors of intestinal parasites among Ethiopian Orthodox church school students in Gondar town, northwest Ethiopia. Method: an institutional-based cross-sectional study was conducted to assess the prevalence and associated factors of intestinal parasites among religious students in Gondar town from February 2019 to April 2019, northwest Ethiopia. A total of 360 participants were selected by the random sampling technique. Results In this study, a total of 360 Orthodox Tewahido church school students were participated. The over all parasite prevalence, 24.7% was relatively low compared with previous studies conducted in other localitie in Ethiopia. The predominanat parasites were A. lumbricoides S. mansoni and hookworm with (11.4%), (4.4%) and (3.6%) prevalence respectively, A significant association was observed among participants with habits of frequent swiming with 2.3 times higher probability of acquaring infections, but there was no association with gender, age, finger nail status, the habit of eating uncooked vegetables/ fruits, source of drinking water and proper toilet utilization. Conclusion In general, the prevalence of intestinal parasite infections was high and calls for intervention actions on Orthodox Tewahido church students. Moreover, swimming frequency and habits had a significant association. Since the prevalence was high, improvement in awareness and enhancing health seeking behavior of the students, deworming and health education need to be focused on.


2015 ◽  
Vol 1 (1) ◽  
pp. 24-28
Author(s):  
MN Ghimire

Background: The study was conducted among the children and parents of Chepang community to know their health status in comparison with other communities. Chepang is an indigenous ethnic group living in Central and Southern Nepal especially in Chitawan, Gorkha and Dhading districts and also known as one of the isolated tribal groups of Nepal. They have their own language known as Chepang but is called Chyo-bang by the people themselves. The Chepang settlement is often on very steep land, unfertile and not easily accessible.Methods: The study was cross-sectional descriptive design. Simple random sampling technique was used to select the 38 children and their parents from the Brahmin/Chhetri, Ethnic groups, Chepang and Dalit.Result: Only 42% respondents had reported that they had visited hospital for checkups during the time of pregnancy. Among them only 11% Chepang had visited hospital. Similarly, 79% reported the use of iron tablets during the pregnancy and after post-delivery periods. In the same way, 95% reported that they had given birth to a child at home. In an average, 17% children of Chepang had better height, weight and thickness of arm than other communities' children.Conclusion: Chepang are found back in health seeking practices than the other communities. Cent percent mother had reported that they had given the birth of 1st baby before 20 years of her age. Though, health status of Chepang children found better than other communities' children.Journal of Advanced Academic Research Vol.1(1) 2014: 24-28


2020 ◽  
Vol 14 (6) ◽  
pp. e0008334
Author(s):  
Gabriel Alcoba ◽  
Manon Chabloz ◽  
Justin Eyong ◽  
Franck Wanda ◽  
Carlos Ochoa ◽  
...  

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