AN EPIDEMIOLOGICAL STUDY OF DIARRHOEA IN UNDER FIVE CHILDREN (0-59 MONTH) IN RURALAREA OF MEERUT, U.P.

2021 ◽  
pp. 33-35
Author(s):  
Ashok Kumar ◽  
Tanveer Bano ◽  
Harivansh Chopra ◽  
Ganesh Singh ◽  
Chhaya Mittal

Acute diarrheal illness remains one of the major causes of childhood morbidity and mortality especially among children under ve years in developing countries. The diarrhoeal disease are more problematic in the rural areas due to poor sanitation and hygiene. So, the study was conducted in under ve children in the rural area with objectives of nding out the fortnightly incidence of diarrhea and to study associated sociodemographic factors and the management practices in the community. The present cross-sectional study was conducted among under ve children in rural area of Meerut. 423 children were studied selected randomly from 2 randomly selected villages of the block. The fortnightly incidence of diarrhoea was found to be 14.2%. Average duration of diarrhoea was 1-3 days. Higher fortnightly incidence of diarrhoea was found in age group 0-12 month, where sibling order was 5 or more, Muslims, OBC, where mother was illiterate, lower socio-economic class, and where housing and environmental conditions were poor with signicant association with sibling order. Among the management practices, maximum number of children were given normal uid during the diarrhea episode and maximum children took treatment from Local healthcare worker or Health clinic.

Author(s):  
Hamam Hadi ◽  
Resti K. Triastanti ◽  
Devita Anggraeni ◽  
Esti Nurwanti ◽  
Emma C. Lewis ◽  
...  

Background: Indonesian school children spend one-third of their time in school, where they are exposed to a variety of foods at school canteens. However, the healthiness of school canteens is not yet well understood. This study was conducted to (1) characterize the healthiness and quality of management of school canteens, and (2) measure readiness of school canteens to reopen following COVID-19 closures.Design and Methods: Mixed-methods were used to conduct a cross-sectional study. Data were collected from schools located in the Bantul District of Indonesia. Primary schools (n=152) were randomly selected, with a final sample size of 147. Data were collected using Google Forms, delivered via WhatsApp or email. School canteens were classified as healthy if they had a Healthy Canteen Score (HCS) >= 10, or unhealthy if they had a HCS < 10.Results: Less than half (43.5%) of school canteens were deemed to be healthy. School canteens were more likely to be healthy if the canteen manager had a formal decision letter (OR=15.2; 95% CI=3.7-62.5); used print material messaging (OR= 3.2 to 4.6 times); or received inspection by external officers periodically (OR=2.8; 95% CI= 1.04-7.5). Readiness to reopen was 4.5 (OR=4.5; 95%CI: 1.1-17.9) times higher among schools that had their own canteen, and 4 (OR=3.9; 95% CI =1.1-13.8) times higher among schools located in rural areas, adjusting for the remaining variables.Conclusions: School canteen healthiness can be improved by implementing national food policy and healthy school canteen standards accompanied by the existence of good management practices within schools, particularly following the COVID-19 pandemic.


Author(s):  
V. Pragadeesh Raja ◽  
G. Ravivarman ◽  
E. Venmathi ◽  
M. Salomi

Background: Mosquito are one of the well known causing many diseases like Malaria, Dengue, Chikungunya, Lymphatic Filariasis, Japanese Encephalitis. They are more prevalent in rural area due to various social factors and lack of knowledge. The objective of this study was to assess knowledge of people and their practices regarding mosquito borne diseases in rural areas of Kancheepuram district, Tamilnadu. Materials and Methods: A community based cross sectional study was conducted among the residents of Pooncheri, Kancheepuram district of Tamilnadu, between the period of August 2017 to September 2017 among 124 houses selected. After obtaining informed consent from the participants they were interviewed using a pretested semi structured questionnaire regarding their knowledge and practices on mosquito borne diseases. Results: The study reported that in case of any symptoms suspected to be of mosquito born disease majority of the study population 82.2% reported consulting doctors.  The most preferred mode of prevention of mosquito bite was usage of spray (33.9%) in the breeding place followed by usage of electric repellents (31.4%). Conclusion: The study indicated that majority of the study population were unaware bout the prevention practices despite knowing about these diseases. Thus, arises the need for effective propagation in the rural area about prevention strategies of mosquito born disease through mass education and social media.


Author(s):  
M. Vijay Kumar ◽  
Indranil Acharya ◽  
Jayanti P. Acharya ◽  
Puligila Raj Shravani ◽  
Sabbineni Ramya

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas. 


Author(s):  
Rais A. Bhat ◽  
Wasim A. Wani ◽  
Sheeraz A. Dar ◽  
Khurshid A. Wani

Background: Over the last two decades, there has been increased awareness that hypertension in children may be a part of the spectrum of essential hypertension mainly linked to obesity epidemic. An increasing number of children and adolescents are being diagnosed with hypertension. Objectives of this study was to determine the prevalence of hypertension among apparently healthy school children residing in the valley of Kashmir.Methods: It was a community based cross sectional study was done over a period of one year in School going children aged 11 to 16 years from both urban and rural areas of Kashmir valley.Results: Thus, prevalence of hypertension was 5.1% and prevalence of prehypertension was 9.3%. Out of total 1600 children 1464 (91.5%) had a normal BMI, 72 (4.5%) were overweight and 64 (4%) were obese. In the prehypertensive group 114 (77%) had normal BMI, 18 (12.16%) were overweight and 16 (10.8%) were obese. In the hypertensive group 30 (36.6%) had normal BMI, 26 (31.7%) were overweight and 26 (31.7%) were obese.Conclusions: Our study reveals that hypertension is not uncommon in Kashmiri children. With globalization bringing more lifestyle modifications, children are exposed to multiple risk factors including obesity and family history of hypertension. We need to make people aware of these facts so that blood pressure measurement could be a part of routine health care check-up in children to detect it early and do necessary interventions.


2020 ◽  
Vol 52 (3) ◽  
pp. 722-729
Author(s):  
Su Yeon Kye ◽  
Hyun Jeong Lee ◽  
Yeonseung Lee ◽  
Young Ae Kim

PurposeWe evaluated public attitudes towards cancer survivors and identified the characteristics associated with these attitudes in Korea.Materials and MethodsWe performed this cross-sectional study using proportionate quota random sampling of the 2015 Korean Census. In May 2017, investigators conducted face-to-face interviews with 1,500 Korean volunteers aged between 20 and 79 years. The questionnaire recorded sociodemographic factors, smoking and drinking habits, cancer history in family and acquaintances, interest in cancer survivors, cancer-survivor blame, and attitudes towards cancer survivors.ResultsMany participants had negative attitudes towards cancer survivors. People with a monthly household income above US $7,000 were less likely to have a negative attitude than those with monthly incomes below US $1,499. People in their 70s, without a religion, living in rural areas, smokers, or those who blame cancer survivors for their own cancer were more likely to have a negative attitude than people outside these categories. People interested in cancer survivors were less likely to have a negative attitude than those who were not interested.ConclusionTo improve attitudes towards cancer survivors, it will be necessary to increase interest in cancer survivors through education, publicity, and advocacy using strategic messaging that focuses on social and institutional aspects and emphasizes that responsibility for cancer should not be attributed to cancer patients. Inducing the public to be interested in cancer survivors will be important for positive attitudes toward cancer survivors.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Castelo-Branco ◽  
R P Santos ◽  
B R Santos ◽  
D D Pinnock ◽  
H P Silva

Abstract Background In the Amazon there are several quilombola communities, remnants of the enslaved peoples of African descendant. In Pará/Brazil (Eastern Amazonia) there are over 300 quilombola communities established in rural areas. The aim of this study is to investigate the living conditions and morbidity of individuals aged 18+ years who live in a quilombola community in the city of Ananindeua/Pará. Methods A cross-sectional study was done with 132 individuals (71.3% of the population). A household survey and a questionnaire evaluating socioeconomic, life habits and self-reported morbidity were conducted. Results Among the participants 90.2% belonged to the D/E economic class, 60.6% were women, the median age was 39.5 years (p = 0.343) and the per capita income was U$41.50/month with no difference between sexes (p = 0.266). 97.0% of the participants self-declared black or brown. Women had more education than men (7x5 years, p = 0.019). Most worked with agriculture and fishing (55.5%). 53.8% of men rated their health status as good while 41.0% of women rated their health as good (p = 0.002). 55.3% had never smoked cigarettes, 25.8% were ex-smokers, and 25.8% were smokers. More men (78.8%) used alcohol regularly than women (43.8%) (p = 0.000), among the users 32.5% reported weekly or daily use. The frequency of self-reported morbidity was as follows: Asthma 21.7%, Hypertension 10.6%, Diabetes 6.8%, Chronic infectious diseases 5.6%, Kidney disease 3.9%, Stroke 3.3%, Angina 3.1%, Liver disease 2.3%, Chronic heart failure 1.5%, with no difference between the sexes. Only 4.0% used medication for diabetes, and 7.6% for hypertension. Conclusions The study shows the social vulnerability of this quilombola community, which is similar to others in the region. The rural afro-derived Amazonian populations need to be empowered to help inform policy makers about their main health issues and healthcare needs. Key messages There are few studies about health of quilombola communities. This research shows the need for further investigations to produce sensible information and promote the empowerment of these populations. This study shows a high level of vulnerability of this community, similar to others in rural Amazon. Information about their health needs is fundamental to promotion of public policies in the region.


2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Dorota Olczak-Kowalczyk ◽  
Anna Turska-Szybka ◽  
Dariusz Gozdowski ◽  
Urszula Kaczmarek

Introduction. There has been a lack of current epidemiological data regarding the prevalence of developmental defects of enamel in Polish adolescents. Aim. To evaluate the prevalence of developmental defect of enamel in the permanent dentition in the population of adolescents aged 18 years old, including the impact of selected sociodemographic factors. Material and methods. A cross-sectional study conducted in 2017 covered adolescents aged 18 years old attending schools in 16 Polish voivodeships, selected by stratified sampling. Sociodemographic factors such as sex, place of residence, parents’ education level and subjective economic status were collected with a survey. The condition of enamel was assessed with the use of DDE Index modified by Clarkson and Dean’s Indicator by dentists specially trained and calibrated for this study. Prior to its initiation, the study was approved by the Bioethics Committee of the Medical University in Warsaw (Ref. No.: KB/134/217 of 6.06.217). Results. A total of 1611 adolescents were examined (with 52.6% female and 50.5% were residents of rural areas). Developmental defects of enamel were identified in 16.3% of the participants of the study, most frequently in the form of demarcated opacities (10.4%). In 2.7%, they were classified as fluorosis, most frequently questionable. Maxillary central incisors and first premolars were most frequently affected. In 2.5% of the examined adolescents, the defects involved single teeth, whereas in 0.6% the defects were generalised. Defects not classified as fluorosis were more commonly identified in males. There were statistically significant differences in the prevalence between voivodeships, with defects most commonly observed in participants from southern voivodeships. No other sociodemographic factors, however, were identified as significant. Conclusions. The highest prevalence of demarcated opacities suggests the significance of local factors in the aetiology of developmental enamel defects of permanent dentition in Poland. Fluorosis is a rarely encountered entity. The lack of the significance of sociodemographic factors and the regional differences in the prevalence of developmental defects of enamel suggest the need for further research, aimed at identifying geographical risk factors.


Author(s):  
Jagruti Prajapati ◽  
Jaydip Oza ◽  
B. B. Patel ◽  
Sunil R. Avashia

Background: Sociodemographic determinants of diabetes such as age, sex and socioeconomic status play a major role in diabetes outcome. It was necessary to design a research project to address this. The aim of this study is to determine the prevalence of diabetes and its sociodemographic factors such as age, gender, residential area, economic status and a level of education in the project districts. Methods: The cross sectional study was carried out in the project districts named Ahmedabad, Dahod and Valsad. Urban, rural and tribal population are above 30 years of age from different districts were covered to collect data on socio economic back ground and status of diabetes. Random blood sugar was measured by glucometer and glycosylated haemoglobin (HbA1c) by the HbA1c analyzer. Results: Proportion of male and female participants were near to equal. Percentage of self reported cases of diabetes (including controlled and uncontrolled) was 14.07% in urban areas while it was 5.24% in rural areas. Pre diabetes detection rate was more in rural area. During screening 11.83% of pre diabetes cases were identified. Difference between controlled and uncontrolled diabetes among illiterate and literate groups was statistically not significant. Conclusions: This preliminary observational study included more than 51000 participants visiting primary and community health centres from three districts of Gujarat. The public private partnership model helped in systematic approach towards screening and data collection. The study reported prediabetes cases higher than global prevalence. More controlled studies are required to define the mandatory screening protocol in resource constrained settings. 


Author(s):  
Navin Kumar ◽  
Ravi Ranjan Jha ◽  
Animesh Gupta

Background: The development of our society and the world largely depends on the health of the children in their first five years. These first five years lay down the foundation of their future mental and physical health. India has the largest number of children in the world. India also contributes to more than 20% of the child deaths in the world. children who are born in rural areas, poor household or illiterate families, are at major risk of dying before turning six years of age. Aim was to assess the health risk profile of under-five children and to find out its relation with socio-demographic, nutritional, cultural health care practices and other factors.Methods: This was a community based cross-sectional study, carried out from January, 2019 till July, 2019 in a resettlement colony of Rohtas district, Sasaram, Bihar. The study population comprised of all the under-five children. The study tools used for data collection included a semi-structured proforma and clinical anthropometric examination.Results: When presence of morbidity was seen among male and female children, it was more (71%) in males as compared to 58% in female children. The difference in the two groups was found to be statistically significant. (p=0.05). Respiratory system was most commonly involved (68.4%).Conclusions: There is high proportion of under nutrition and other morbidities among under five children in our country. Special focus needs to be put in resettlement colonies, as these residential colonies remain neglected.


2020 ◽  
Vol 16 (1) ◽  
pp. 140
Author(s):  
Andini Retno Yunitasari ◽  
Ratu Ayu Dewi Sartika ◽  
Asih Setiarini

The underweight still remains a public health problem for toddlers in Indonesia. The purpose of the study to identify the factors related to the underweight incident for toddlers at 24-59 months in urban and rural areas of Indonesia. This research used cross-sectional study design. This study used secondary data on the Total Diet Study-Individual Food Consumption Survey of 2014. The sample size in this study was 5165 toddlers from 24-59 months and distinguished by urban and rural areas. Bivariate Analysis used chi square. This study estimates that 20.3% of children aged 24-59 months were underweight with a greater proportion in rural areas 22.5%. Significant factors related to the underweight incidence in the urban and rural areas were the father's education level (urban; p = 0.02 and rural; p = 0.005) and mother’s education level (urban; p = 0.001 and rural; p = 0.005), number of household members (urban; p = 0.03 and rural; p = 0.012), and energy adequacy level (urban; p = 0.012 and rural; p = 0.005). The factor that was estimated to be significantly related to the underweight incidence just in rural areas as children’s age (p = 0.012), the total number of children in one house (p = 0.047). Multisectoral collaboration is needed to reduce nutritional problems, especially in rural areas. The efforts to improve community nutrition by improving the socio-economic condition of the community should be based on regional capabilities and local wisdom in the region.


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