Cost of Caregivers for Treating Hospitalized Diarrheal Patients in Bangladesh

Introduction: Diarrheal diseases are a global public health problem and one of the leading causes of mortality, morbidity and economic loss. The objective of the study is to estimate the economic cost of caregivers and cost distribution per diarrheal episodes in Bangladesh. Methods: This was a cross-sectional hospital-based study conducted in public hospitals in Bangladesh. A total of 801 diarrheal patients were randomly selected and interviewed during January to December 2015. Simple descriptive statistics including frequencies, percentage, mean with 95% CI and median are presented. Results: The overall average cost of caregivers was BDT 2243 (US$ 28.58) while only BDT 259 (US$ 3.29) was spent as out of pocket payments. Caregivers mostly spent money (US$ 1.63) for food, lodging, utility bills, and other lump sum costs followed by the transportation costs (US$ 1.57). The caregivers spent more (US$ 44.45) when they accompanied the patients who were admitted in inpatients care and almost 3.6 times higher than for out-patients care (US$ 12.42). Conclusions: The study delivers an empirical evidence to the health-care programmers and policy makers about the economic cost of caregivers during diarrheal treatment care, which should be accounted for in designing future diarrheal prevention programme.

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Perceived Experiences of Community Violence Among Adolescents: A School Survey From Rio de Janeiro, Brazil

Journal of Interpersonal Violence ◽

10.1177/08862605211005132 ◽

2021 ◽

pp. 088626052110051

Author(s):

Claudia L. de Moraes ◽

Érika B. dos Santos ◽

Michael E. Reichenheim ◽

Stella R. Taquette ◽

Luciane Stochero ◽

...

Keyword(s):

Public Schools ◽

Community Violence ◽

Rio De Janeiro ◽

Public Health Problem ◽

Cross Sectional Study ◽

Global Public Health ◽

Cross Sectional ◽

Interpersonal Aggression ◽

Adolescent Students ◽

Management Actions

Community violence (CV) is a global public health problem due to its high frequency and severe consequences. Although CV is one of the leading causes of death among adolescents, little is known about the everyday CV situations that do not lead to death. This study aimed to estimate the frequency of exposure to and involvement in CV situations among adolescent students from public and private schools in the city of Rio de Janeiro, Brazil. This was a cross-sectional study of 693 individuals in their second year of high school selected through stratified multistage random sampling. Information about their exposure to and involvement in CV was collected through a self-completed multidimensional questionnaire in the classrooms. For approximately 30% of the adolescents, someone close to them had been murdered, and 40% had already seen the corpse of a victim of homicide. Seventeen percent reported having been directly involved in CV situations. Approximately 38%, 13%, and 25% had been victims of robberies, interpersonal aggression, and death threats to either themselves or their relatives, respectively. Many of these situations occurred more than once. In general, CV was more frequently reported by boys and by those who did not live with both parents. Adolescents from higher economic classes experienced more interpersonal aggression and felt a greater need to carry a gun. Those who belonged to the lower economic classes and studied in public schools were more exposed to lethal violence than other students. The results call attention to the very high percentage of adolescent students that are involved in CV situations as well as to the differences in violence rates among population subgroups. Such findings should be considered when planning CV prevention and management actions in schools and other socialization spaces for adolescents.

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Prevalence and Associated Factors of Anemia among Muslim Students, Nakhon Si Thammarat, Thailand: A Cross-Sectional Study

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211013476 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110134

Author(s):

Chutima Rattanawan ◽

Suraiya Cheloh ◽

Asma Maimahad ◽

Malatee Tayeh

Keyword(s):

Public Health ◽

Associated Factors ◽

Public Health Problem ◽

Economic Factor ◽

Cross Sectional Study ◽

School Age ◽

Global Public Health ◽

Related Factors ◽

Cross Sectional ◽

Prevalence Of Anemia

Anemia is a global public health problem. The prevalence of anemia among different ages, genders or ethnic groups must be clarified in order to solve problems. This study proposed to determine the prevalence and factors related to anemia among the Muslim school-age population in Nakhon Si Thammarat, Thailand. Socio-demographic and anthropometric data were collected by a structured questionnaire. Blood samples were collected from 200 school-age subjects. The thalassemia screening was performed with KKU-OF and KKU-DCIP reagents. The prevalence of anemia in this study was 36.5%, divided into males and females, 33.3% and 39.1%, respectively. The means of Hb, Hct, MCV, MCH, and MCHC in the anemic group were significantly lower. The positive results for KKU-OF or KKU-DCIP or both were 15.0%, 2.5%, and 1.0%, respectively. The result of positive OF test was a significantly independent factor for anemia. The number of family members was 5 to 7 and more than 7 persons are related factors for anemia in this study. In summary, the contribution of thalassemia and socio-economic factor are associated factors to anemia in this population. These findings should be addressed in public health strategies for the control of anemia of school-aged Muslims in the region.

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Adherence to Primary Prevention and Skin Self-Examination Practices by Spanish Melanoma Patients

Dermatology ◽

10.1159/000512887 ◽

2021 ◽

pp. 1-7

Author(s):

Irene Torrecilla-Martínez ◽

Esperanza Manrique-Silva ◽

Victor Traves ◽

Celia Requena ◽

Eduardo Nagore

Keyword(s):

Primary Prevention ◽

Cutaneous Melanoma ◽

Public Health Problem ◽

Global Public Health ◽

Prevention Measures ◽

Online Questionnaire ◽

Cross Sectional ◽

History Of ◽

High Level ◽

Self Examination

Background: The incidence of cutaneous melanoma, an important global public health problem, has been increasing over the last several decades. Objectives: In order to decrease melanoma-related mortality, ways to communicate and implement the correct methods for conducting primary and secondary prevention measures (such as early detection via self-examination) should be investigated. Materials and Methods: An observational, cross-sectional, retrospective study consisting of 409 patients diagnosed with cutaneous melanoma was conducted. An online questionnaire was created to evaluate knowledge levels, attitudes, and adherence to primary preventive measures and to skin self-examination practices. Results: The results revealed that even when 43% of the patients perform cutaneous self-examinations, only half of them fully followed the recommendations. Patients aged <45 years, female, with a I–II phototype, with an intermediate/high level of education, and with a history of NMSC were more likely to have an adequate degree of knowledge. Moreover, patients aged <45 years and with an adequate degree of knowledge more frequently showed an adequate adherence to the primary prevention measures. Finally, patients aged 45–60 years and with an adequate degree of knowledge presented a good adherence to the self-skin examination measures. Limitations: Possible limitations of this study were memory bias through the influence of age within the study population, and bias due to a greater proportion of subjects with a high education level. Conclusion: Within the population of patients with melanoma, a high percentage of patients do not rigorously follow the recommended prevention measures. Our study highlights the need to implement awareness in this population to improve the prevention of cutaneous cancer.

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Mixed brain abscess due to Streptococcus and Tuberculosis in a pregnant woman with favorable evolution. A case report

10.36879/jcmi.20.000123 ◽

2020 ◽

pp. 1-3

Keyword(s):

Brain Abscess ◽

Public Health Problem ◽

Elective Cesarean Section ◽

Histopathological Study ◽

Global Public Health ◽

Mother And Child ◽

Elective Cesarean ◽

Causes Of Mortality ◽

Abscess Wall

Tuberculosis is a global public health problem and is among the top ten causes of mortality in the world. We present the unusual case of a 37-year-old woman, referred for fever, progressive headache, nausea, vomiting and change in mental status. Brain imaging studies. showed a left frontal brain abscess with subfalcin herniation. As an urgent procedure, surgical drainage of the brain abscess was performed, and in the culture of pus there was growth of an anaerobic Streptococcus. The histopathological study of the abscess wall showed data on tuberculosis. The patient was pregnant at surgery, for about five weeks and received anti-tuberculous medications with close maternal fetal follow-up. Pregnancy came to term and was resolved by an elective cesarean section, both mother and child had a favorable evolution.

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Knowledge and vaccination status on hepatitis B among the students of Patuakhali Science and Technology University, Bangladesh

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184561 ◽

2018 ◽

Vol 5 (11) ◽

pp. 4715

Author(s):

M. Sabbir Ahmed ◽

M. Wahidur Rahman ◽

Fahmida Fayeza ◽

Tarana Sharmin

Keyword(s):

Hepatitis B Virus ◽

Blood Transfusion ◽

Hepatitis B ◽

Public Health Problem ◽

Causative Factor ◽

Vaccination Status ◽

Global Public Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

B Virus

Background: Hepatitis B virus (HBV) infection is a serious global public health problem as well as in Bangladesh. The most common liver disease in Bangladesh is viral hepatitis. Bangladesh is an intermediate endemic zone for hepatitis B virus infection. Research shows that about 10 million people in Bangladesh have been suffering from hepatitis B.Methods: The research was a cross-sectional survey and appropriate statistical formula was used to select 341 respondents randomly. The data were collected through a pre-designed, pre-structured questionnaire, which was distributed among the students. All the data was analysed using Microsoft Excel 2013.Results: Most of the respondent 95% knew about hepatitis B and about 87% knew that it is a viral infection. About 69% students respond that hepatitis B can increase liver cancer. Among the respondents, 76% supported that hepatitis B can be transmitted by blood transfusion. Most of the students 82% supported blood transfusion as a causative factor and 67% informed that jaundice is the major sign and symptoms of hepatitis B. More than half of the students 53% reported that they were vaccinated for hepatitis B. The major reasons for not taking vaccination were lack of free time and lack of feeling of necessity for vaccination.Conclusions: The overall knowledge and vaccination status on hepatitis B virus was not satisfactory. Different types of seminars and campaigns on hepatitis B, arranged by university will help to increase the student’s level of knowledge on hepatitis B.

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Knowledge and Belief towards Infertility among Undergraduate Students of Selected Colleges of Pokhara Metropolitan City

Journal of Health and Allied Sciences ◽

10.37107/jhas.123 ◽

2019 ◽

Vol 9 (2) ◽

pp. 24-28

Author(s):

Alisha Dhungana ◽

Kalpana Jnawali

Keyword(s):

Undergraduate Students ◽

Public Health Problem ◽

Knowledge Score ◽

Female Students ◽

World Health ◽

Global Public Health ◽

Cross Sectional ◽

Metropolitan City ◽

Good Level ◽

Level Of Knowledge

Introduction: Infertility is the global public health problem with adverse social and economic consequences. World Health Organization states that infertility affects 1 in every 10 couples worldwide. This study was carried out with an objective to find out the level of knowledge and belief regarding infertility among undergraduate students. Methods: This was a cross-sectional and quantitative study, carried out among 420 undergraduate students of 7 selected colleges of Pokhara Metropolitan city from July to September 2019. Study populations were selected through simple random sampling method. Data collection was carried out using self-administered questionnaire. Results: Study revealed that 51.9% students had good level of knowledge with the female students having greater knowledge (57%) than male (48%). The study found that students’ knowledge score related to infertility was significantly associated with gender (p<0.05) and parental advices (p<0.05). Conclusions: More than half of the participants had good level of knowledge. Female students were more knowledgeable than male students. Less than half of the participants had ever attended on sexual and reproductive training programs.

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Suggestive changes of human papillomavirus infection in students at a public university

ACTUALIDAD MEDICA ◽

10.15568/am.2021.812.or04 ◽

2021 ◽

Vol 106 (106(812)) ◽

pp. 30-37

Author(s):

J. Núñez ◽

A. Romano ◽

M. Medina ◽

R.A. Cardozo

Keyword(s):

Human Papillomavirus ◽

Standard Procedure ◽

Public Health Problem ◽

Cross Sectional Study ◽

Health Sciences ◽

Low Grade ◽

Global Public Health ◽

Cross Sectional ◽

Human Papillomavirus Infection ◽

Papillomavirus Infection

Introduction: Sexually transmitted infections are a global public health problem. Objective: to analyze the results of cervical-vaginal cytologies with suggestive changes of Human Papillomavirus infection in students of the Faculty of Health Sciences of the University of Carabobo, who was attended the gynecology consultation of the Ambulatory “Nuestra Seora de la Luz” in 2016-2017. Method: descriptive, cross-sectional study. Population consisting of all students of the Faculty of Health Sciences who was attended the Gynecology Consultation at the Ambulatory mentioned above during the period under study. Non-probabilistic and intentional sample, inclusion criteria: age, acceptance to belong to the study by signing informed consent, and not suffering pathologies at the time of sampling or being pregnant. The collection of the information was carried out through the interview and subsequent cytological examination, and the cytological study was expressed according to the BETHESDA 2001 system. The sample for cervical-vaginal cytology was performed according to standard procedure. Results: average age of 21.43-2.47 years, 40.2% belonging to the low mean stratum, 9.2% smokers, sexarquia in ages 18-20 years in 52.6% of cases, 70% with 2 or 3 pairs. As for the cytology result, 9.2% was suggestive for Human Papillomavirus infection, while with the BETHESDA 2001 System, in the epithelial cell abnormalities section, 63.6% showed low-grade Human Papillomavirus -associated. Conclusions: in the sample, the suggestive changes to Human Papillomavirus infection, was higher than that found in other countries, whereas most interviewees presented risk factors to contract it, so emphasis on education is recommended conducting annual cytology to the at-risk population.

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Gambaran Status Endemisitas Filariasis dan Faktor yang Terkait dengan Transmisi Sesaat Pasca Survei Transmission Assessment Survey (TAS-) 1 di Kabupaten Pidie, Aceh

Media Penelitian dan Pengembangan Kesehatan ◽

10.22435/mpk.v29i4.2099 ◽

2020 ◽

Vol 29 (4) ◽

Author(s):

Nur Ramadhan ◽

Yulidar Yulidar ◽

Abidah Nur ◽

Zain Hadifah ◽

Yasir Yasir

Keyword(s):

Public Health Problem ◽

Evaluation Study ◽

Cross Sectional Study ◽

Global Public Health ◽

Sectional Study ◽

Selective Treatment ◽

Related Factors ◽

Cross Sectional ◽

Assessment Survey ◽

And Behavior

Abstract Filariasis is still a global public health problem both in the world and in Indonesia. Aceh is include in one of the provinces with the most clinical cases in Indonesia. The aimed of this study was to determine the description of endemicity status and Related Factors to Instantaneous Transmissions period after Transmission Assessment Survey (TAS) 1 in Pidie district. This research is part of the filariasis elimination evaluation study in Indonesia (Multicenter Filariasis Study) Litbangkes Office Center, Ministry of Health in 2017. The research design was cross sectional study. The study was conducted from February to November 2017. The selected research sites were Buloh and Kambuk Payapi Village in Pidie district. Data was collected by interviewin respondent to obtained information about people's knowledge, attitudes and behavior related to filariasis. In addition, finger blood tests were also conducted on respondents who had been interviewed. The number of respondents by finger blood was 627 and 714 were interviewed. The risk of filariasis transmission still occurred with the finding of 10 positive cases of microfilaria as many as 10 people in Kambuk Payapi village with B.malayi species. The average filarial density was 86.84 / μl blood. Respondent’s knowledge about filariasis is still low, community attitudes towads the prevention and treatment of filariasis was positive. Only a portion of respondents were involved in mass treatment. Selective treatment and strengthening synergy across sectors and programs must be increased so that elimination of filariasis can be achieved. In addition, it is necessary to increase public knowledge through various health promotion media to improve community behaviour to achieve elimination of filariasis. Abstrak Filariasis masih menjadi masalah kesehatan baik di dunia maupun di Indonesia. Aceh termasuk dalam salah satu provinsi dengan kasus klinis kronis terbanyak di Indonesia. Tujuan penelitian ini adalah mengetahui gambaran status endemisitas filariasis dan faktor yang berpengaruh dengan transmisi setelah Transmission Assessment Survey (TAS) 1 di Kabupaten Pidie. Penelitian ini merupakan bagian dari studi evaluasi eliminasi filariasis di Indonesia (studi Multicenter Filariasis) Badan Litbangkes Kementerian Kesehatan tahun 2017. Desain penelitian adalah cross sectional study. Penelitian dilakukan dari Februari-November 2017. Tempat penelitian adalah di desa Buloh dan desa Kambuk Payapi di Kabupaten Pidie. Pengumpulan data dilakukan wawancara responden untuk mendapatkan informasi tentang pengetahuan, sikap, dan perilaku masyarakat terkait filariasis. Selain itu juga dilakukan pemeriksaan darah jari malam hari pada responden yang sudah diwawancarai. Jumlah responden yang diperiksa darah jari 627 responden dan yang diwawancarai 714. Resiko penularan filariasis masih terjadi dengan masih ditemukannya kasus positif mikrofilaria sebanyak 10 orang di desa Kambuk Payapi dengan spesies B.malayi. Rata-rata kepadatan filaria adalah 86,84/µl darah. Pengetahuan responden tentang penyebab filariasis masih rendah, sikap masyarakat terhadap upaya pencegahan dan pengobatan filariasis sudah positif. Namun demikian hanya sebagian responden yang ikut terlibat dalam pengobatan masal. Pengobatan selektif dan memperkuat sinergi lintas sektos dan lintas program harus ditingkatkan agar eliminasi filariasis dapat dicapai. Selain itu diperlukan peningkatan pengetahuan masyarakat melalui berbagai media promosi kesehatan untuk meningkatkan prilaku masyarakat untuk mencapai eliminasi filariasis.

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Hepatitis: Knowledge and Awareness among the Infected Population

Bangladesh Medical Research Council Bulletin ◽

10.3329/bmrcb.v43i3.36415 ◽

2018 ◽

Vol 43 (3) ◽

pp. 126-130

Author(s):

Mohammad Jobayer ◽

Zeenat Afroz ◽

Mizanur Rahman ◽

Nadira Akter ◽

SM Shamsuzzaman ◽

...

Keyword(s):

Virus Infection ◽

Low Income ◽

Preventive Measures ◽

Adult Population ◽

Public Health Problem ◽

Global Public Health ◽

Hepatitis Viruses ◽

Cross Sectional ◽

Infected People ◽

Infected Population

Hepatitis viruses are serious global public health problem and rapidly spreading in the developing countries due to factors like illiteracy, lack of health education, poverty. The aim of this study was to assess the level of knowledge and awareness of hepatitis infected people toward the disease, its consequences, routes of transmission of virus and preventive measures including vaccination. This cross-sectional study was carried out in the Department of Microbiology of Dhaka Medical Collage, Dhaka, Bangladesh from February to August 2013 among 2254 male jobseekers to Malaysia. History was taken and information was collected from HBsAg and anti-HCV positive persons by a predesigned questionnaire. Prevalence of hepatitis B virus infection in adult population was 2.35% and appears to be on decline and prevalence of hepatitis C virus infection was 0.13% that is still low in Bangladesh. No significant relationship was found between the demographic profile like religion, locality, occupation of the study population and hepatitis infection. In majority of the positive jobseekers, routes of transmission of viruses were not well established. Among infected population about 90% had educational status below secondary level, they were from low income group, and 60% of them were unemployed. Three fourth of them did not have proper knowledge about the disease, only about 10% of them properly knew about routes of transmission of hepatitis viruses and 91% did not have adequate knowledge about the preventive measures including vaccination. Knowledge about hepatitis was poor among infected population and they were not much aware about the disease; so measures should be taken to create awareness among the population about hepatitis and the preventive measures to halt the transmission of such infections.

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Patterns of breast, prostate and cervical cancer incidence and mortality in Colombia: An administrative registry data analysis

10.21203/rs.3.rs-44815/v1 ◽

2020 ◽

Author(s):

Juliana Alexandra Hernández Vargas ◽

Paula Ximena Ramírez Barbosa ◽

Ana Milena Gil Quijano ◽

Ana María Valbuena García ◽

Lizbeth Acuña Merchán ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Incidence ◽

Public Health Problem ◽

Mortality Rates ◽

Eastern Region ◽

Global Public Health ◽

Cervical Cancer Incidence ◽

Mortality Trends ◽

Cross Sectional ◽

Incidence And Mortality

Abstract Background Cancer is widely recognized as a global public health problem. Breast, prostate and cervical cancer are among the most frequent types in developing countries. Assessing their incidence and mortality by regions and municipalities is important to guide evidence-based health policy. Our aim was to describe the incidence and mortality trends for breast, cervical and prostate cancer across regions and municipalities in Colombia during 2018. Methods We performed a cross-sectional analysis with data from people with breast, prostate or cervical cancer, reported to the National Administrative Cancer Registry during 2018. A descriptive analysis was performed. Age-standardized incidence and mortality rates were estimated at national, regional and municipal levels. Finally, we identify the regions and municipalities with significantly higher or lower incidence and mortality rates compared to national estimations. Results Breast cancer was the most frequent type among all new cases and deaths in Colombia. Breast, prostate and cervical cancer incidence and mortality rates were: 18,69 (CI 95%: 18,15–19,25) and 10,48 (CI 95%: 10,07–10,91); 11,34 (CI 95%: 10,90 − 11,78) and 7,58 (CI 95%: 7,22 − 7,96); 5,93 (CI 95%: 5,62 − 6,25) and 4,31 (CI 95%: 4,05 − 4,58), respectively. Eastern region had both, incidence and mortality rates, significantly lower than national for all types of cancer. By municipalities, there were a heterogeneous pattern. Nonetheless, Agua de Dios (Cundinamarca), had one of the highest incidence rates for all types. Conclusions We observed clear differences in cancer incidence and mortality across regions and municipalities, depending on each type of cancer. Our findings are important to improve screening coverage, early detection and treatment in the country.

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