scholarly journals Taken to health care provider or not, under-five children die of preventable causes: Findings from cross-sectional survey and social autopsy in Rural India

2016 ◽  
Vol 41 (2) ◽  
pp. 108 ◽  
Author(s):  
NarendraK Arora ◽  
Vaishali Deshmukh ◽  
Chandrakant Lahariya ◽  
Sriram Krishnamurthy ◽  
ManojK Das ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Rural India ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Social Autopsy

Chronic conditions and barriers to care: exploring the health of migrant and seasonal farmworkers in Indiana

2016 ◽  
Vol 9 (4) ◽  
pp. 229-234
Author(s):  
Michelle Sandoval-Rosario ◽  
Theresa Marie Hunter ◽  
Adrienne Durnham ◽  
Antoniette Holt ◽  
Pam Pontones ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Chronic Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Migrant And Seasonal Farmworkers ◽  
Seasonal Farmworkers

Purpose Migrant and seasonal farmworkers (MSFWs) have many health challenges due to the nature of their work, low wages, living conditions, mobility, and lack of health insurance. The purpose of this paper is to assess the availability of health services, barriers to accessing health care, and the prevalence of chronic conditions among MSFWs in Indiana. Design/methodology/approach A site-based convenience sample of MSFWs aged 14 years and older completed a cross-sectional survey. A total of 97 participants who currently or previously identified as farmworkers completed the questionnaire. Findings Almost one-third of the respondents reported no access to a health care provider. Of those, 43 percent reported that cost prevented them from seeking care. Of those who reported chronic conditions ( n=22), over 50 percent did not have access to a health care provider. These findings highlight the need to further investigate the magnitude of the problem and begin exploring ways to improve affordable health care access among MSFWs in Northeastern Indiana. Originality/value The results from this study highlight the need for the development and implementation of community health education programs that target MSFWs in Indiana. The findings, although not generalized, offer important insights into health care challenges and barriers to access in Indiana. The authors recommend that assistance programs should be implemented for providing affordable health care services for Hispanic MSFWs.

National Cross-Sectional Survey: U.S. Parents’ Acceptance of Learning about Mindfulness Practices for Parents and Children (Preprint)

2021 ◽  
Author(s):  
Mala Mathur ◽  
Bradley R. Kerr ◽  
Jessica C. Babal ◽  
Jens C. Eickhoff ◽  
Ryan J. Coller ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parents And Children ◽  
Significant Difference ◽  
Chi Squared ◽  
Mindfulness Practices

BACKGROUND Mindfulness practices are associated with improved health and well-being for children. Few studies have assessed parents’ acceptance of learning about mindfulness practices. OBJECTIVE This study aimed to assess parents’ beliefs and interest in learning about mindfulness, including from their health care provider, and differences across demographic backgrounds. METHODS We conducted a national, cross-sectional survey of parents with 0-18-year-old children in October 2018. Measures included beliefs and interest in learning about mindfulness. These measures were compared across demographic backgrounds using chi-squared analysis. Multivariate linear and logistic regression analyses were used to perform adjusted comparisons between demographic backgrounds. RESULTS Participants (N=3,000) were 87% female and 82.5% Caucasian. Most (64.2%) reported beliefs that mindfulness can be beneficial when parenting, 53.7% showed interest in learning about mindfulness to help their child stay healthy, and 40.8% reported interest in learning about mindfulness from their health care provider. Parents with a college degree 49.6% (n=444) were more likely to report interest in learning about mindfulness from a health care provider compared to those without 37.1% (n=768) (P<.001). Parents interested in learning about mindfulness were more likely to be male 62.6% (n=223) (P<.001). There was no significant difference in interest in learning about mindfulness from a health care provider based on race. CONCLUSIONS This study indicates that many parents believe mindfulness can be beneficial while parenting and are interested in learning how mindfulness could help their child stay healthy. Findings suggest there is an opportunity to educate families about mindfulness practices. CLINICALTRIAL Not applicable.

scholarly journals Malaria infection and anemia status in under-five children from Southern Tanzania where seasonal malaria chemoprevention is being implemented

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260785
Author(s):  
Richard O. Mwaiswelo ◽  
Bruno P. Mmbando ◽  
Frank Chacky ◽  
Fabrizio Molteni ◽  
Ally Mohamed ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Socioeconomic Factors ◽  
Low Socioeconomic Status ◽  
Malaria Infection ◽  
Bed Net ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Seasonal Malaria Chemoprevention

Background Malaria and anemia remain major public health challenges in Tanzania. Household socioeconomic factors are known to influence these conditions. However, it is not clear how these factors influence malaria transmission and anemia in Masasi and Nanyumbu Districts. This study presents findings on malaria and anemia situation in under-five children and its influencing socioeconomic factors in Masasi and Nanyumbu Districts, surveyed as part of an ongoing seasonal malaria chemoprevention operational study. Methods A community-based cross-sectional survey was conducted between August and September 2020. Finger-prick blood samples collected from children aged 3–59 months were used to test for malaria infection using malaria rapid diagnostic test (mRDT), thick smears for determination of asexual and sexual parasitemia, and thin smear for parasite speciation. Hemoglobin concentration was measured using a HemoCue spectrophotometer. A structured questionnaire was used to collect household socioeconomic information from parents/caregivers of screened children. The prevalence of malaria was the primary outcome. Chi-square tests, t-tests, and logistic regression models were used appropriately. Results Overall mRDT-based malaria prevalence was 15.9% (373/2340), and was significantly higher in Nanyumbu (23.7% (167/705) than Masasi District (12.6% (206/1635), p<0.001. Location (Nanyumbu), no formal education, household number of people, household number of under-fives, not having a bed net, thatched roof, open/partially open eave, sand/soil floor, and low socioeconomic status were major risks for malaria infection. Some 53.9% (1196/2218) children had anemia, and the majority were in Nanyumbu (63.5% (458/705), p<0.001. Location (Nanyumbu), mRDT positive, not owning a bed net, not sleeping under bed net, open/partially open eave, thatched window, sex of the child, and age of the child were major risk factors for anemia. Conclusion Prevalence of malaria and anemia was high and was strongly associated with household socioeconomic factors. Improving household socioeconomic status is expected to reduce the prevalence of the conditions in the area.

scholarly journals A Study to Assess Knowledge Regarding Prevention and Home Care Management of Diarrhea among Mothers of Under-Five Children Attending a Tertiary Level Hospital, Thiruvananthapuram, Kerala

2021 ◽  
Vol 6 (3) ◽  
pp. 466-471
Author(s):  
Ancey K Toby ◽  
Aruna R ◽  
Avani Anil
Keyword(s):  
Home Care ◽  
Care Management ◽  
Sampling Technique ◽  
Research Approach ◽  
Knowledge Level ◽  
Diarrheal Diseases ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Aim: To find out the knowledge level of mothers of under five children regarding prevention and home care management of diarrhea and develop educational intervention to provide them adequate information regarding management. Objectives: i) To assess the knowledge of mothers regarding prevention and home care management of diarrhea. ii) To find out the association between knowledge level of mothers regarding prevention and homecare management of diarrhea and selected socio-demographic variables. Method: A quantitative research approach-descriptive cross-sectional survey design was adopted. 80 samples were selected for the study by using purposive sampling technique. Results: It was found that 72.5% of mothers had average knowledge and 6.25% of mothers had poor knowledge regarding prevention and homecare management of diarrhea. After calculation of chi square values, it is identified that there is a statistically significant association between knowledge of mothers and their educational status. Conclusion: The finding of this study showed that the knowledge level of mothers was unsatisfactory about the prevention and home care management of under-five diarrheal diseases. Therefore, health education, dissemination of information, and community conversation should plan and implement to create a positive attitude and practice towards the better prevention and management of under-five diarrheal diseases. Keywords: diarrhea, mothers, under-five children.

scholarly journals Childhood Sanitation Practices and Incidence of Diarrhea in Slum Communities With Implications for Community-Based Education in Less Developed Countries

2020 ◽  
Author(s):  
Akpovire B Oduaran ◽  
Okechukwu Stephen Chukwudeh
Keyword(s):  
Low Income ◽  
Developed Countries ◽  
Less Developed Countries ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Education ◽  
Under Five ◽  
Under Five Children ◽  
Slum Dwellers

Abstract Background Diarrhoea is a major cause of mortality among under-five children, especially in less developed countries. Previous studies on childhood diarrhoea have largely focused on biomedical methods with little attention given to community-based approach to reduce the prevalence of the disease in the slums, classified in literature among areas of high diarrhoea incidence. The key question is does childhood sanitation practices influence the incidence of diarrhea? This study, was therefore, designed to examine the association between childhood sanitation practices and incidence of diarrhea using community-based approach.Methods The value beliefs and planned behavior theories were adopted as framework, while cross-sectional survey was use to elicit data from 900 mothers of under-five children who had lived in the study locations for at least 12 months preceding the research and 10 In-depth interviews was conducted.Results There was a positive significant association between defecating with unimproved toilet facilities (χ2=42.167, p<0.05), cleaning buttocks with inappropriate materials (χ2=4.274, p<0.05), disposing faeces around household environments (χ2=10.542, p<0.05), and childhood diarrhea. The odds was higher among children whose mothers had no education (OR=1.560), widow (OR=5.542), poor (OR=1.556), and children that defecates with unhygienic toilet facilities (OR=7.806).Conclusion Community perceptions interact with poverty to influence unhygienic toilet practices in the slums. This has negative health implications on the lives of low-income and vulnerable slum dwellers. Thus, community-based education on improved sanitary practices is necessary to reduce diarrhoea prevalence.

scholarly journals Communication Difficulties and Psychological Stress in Patients Receiving Mechanical Ventilation

2019 ◽  
Vol 4 (2) ◽  
pp. 718-723
Author(s):  
Dejina Thapa ◽  
Anika Dahal ◽  
Rameshwari Singh
Keyword(s):  
Health Care ◽  
Mechanical Ventilation ◽  
Psychological Stress ◽  
Health Care Provider ◽  
Care Provider ◽  
Assessment Tool ◽  
College Teaching ◽  
Hospital Data ◽  
Cross Sectional ◽  
Communication Difficulties

Introduction: Communication is fundamental for an individual to verbalize their feelings. Inability of the patient receiving mechanical ventilation to communicate the needs to the health care provider often leads to psychological stress. Objective: The objective of the study is to assess the communication difficulties and psychological stress in patients receiving mechanical ventilation. Methodology: A cross-sectional research design was used for the study. A total of 48 patient extubated within the preceding 72 hours, was taken as a sample by using a convenience sampling method. Data were collected by using a interview technique in patients from January–September 2018 from a 41- bedded ICU at Nobel Medical College Teaching Hospital. Data analysis was done by descriptive and inferential statistics. Results: Difficulty in communication was found where majority of the respondents (82.29%) rated general communication as extremely hard. The study further revealed that 100% of the respondents used hands for pointing and gesturing followed by shaking heads (65.38%), whisper (19.23%) and writing (11.53%). Sleeping and communication difficulty was the major problem 97.91% and 96.94% respectively. Majority of respondents (66.66%) scored Intensive Care Psychological Assessment Tool more than 7. In addition, there is significant association between the sex, total length of ventilation and prior experience with ICU (p= <0.05). Conclusion: Patient with mechanical ventilation experience a moderate to extreme level of psychological stress because they have difficulty in communicating their needs. Alternative communication methods should be developed, and health care provider should be aware about the communication difficulties, thereby reducing the stress caused by ineffective communication.

scholarly journals Health care provider time in public primary care facilities in Lima, Peru: a cross-sectional time motion study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah H. Leslie ◽  
Denisse Laos ◽  
Cesar Cárcamo ◽  
Ricardo Pérez-Cuevas ◽  
Patricia J. García
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Cross Sectional ◽  
Record Keeping ◽  
Time Motion ◽  
Motion Study ◽  
Care Facilities ◽  
Nurses And Midwives

Abstract Background In Peru, a majority of individuals bypass primary care facilities even for routine services. Efforts to strengthen primary care must be informed by understanding of current practice. We conducted a time motion assessment in primary care facilities in Lima with the goals of assessing the feasibility of this method in an urban health care setting in Latin America and of providing policy makers with empirical evidence on the use of health care provider time in primary care. Methods This cross-sectional continuous observation time motion study took place from July – September 2019. We used two-stage sampling to draw a sample of shifts for doctors, nurses, and midwives in primary health facilities and applied the Work Observation Method by Activity Timing tool to capture type and duration of provider activities over a 6-h shift. We summarized time spent on patient care, paper and electronic record-keeping, and non-work (personal and inactive) activities across provider cadres. Observations are weighted by inverse probability of selection. Results Two hundred seventy-five providers were sampled from 60 facilities; 20% could not be observed due to provider absence (2% schedule error, 8% schedule change, 10% failure to appear). One hundred seventy-four of the 220 identified providers consented (79.1%) and were observed for a total of 898 h of provider time comprising 30,312 unique tasks. Outpatient shifts included substantial time on patient interaction (110, 82, and 130 min for doctors, nurses, and midwives respectively) and on paper records (132, 97, and 141 min) on average. Across all shifts, 1 in 6 h was spent inactive or on personal activities. Two thirds of midwives used computers compared to half of nurses and one third of doctors. Conclusions The time motion study is a feasible method to capture primary care operations in Latin American countries and inform health system strengthening. In the case of Lima, absenteeism undermines health worker availability in primary care facilities, and inactive time further erodes health workforce availability. Productive time is divided between patient-facing activities and a substantial burden of paper-based record keeping for clinical and administrative purposes. Electronic health records remain incompletely integrated within routine care, particularly beyond midwifery.

scholarly journals Social factors of under-five mortality in rural Agra

2017 ◽  
Vol 4 (10) ◽  
pp. 3735
Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Sampling Technique ◽  
Acute Respiratory Tract Infection ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
The Government

Background: Very limited recent data is available on the causes of child deaths in India.Most of the available studies do not accurately reflect the socio factors related to these deaths. Identifying and assessing the factors affecting the child mortality could be the first step in planning to reduce the mortality and promoting the society health and life expectancy. Therefore the present study was undertaken to find out the socio factors of deaths among children under 5 years of age. Methods: The present cross-sectional survey was conducted among under five children and their parents residing within the selected villages in a community Development Block Sainyan, District Agra using Multistage random sampling technique. Participatory learning action technique was used. Data was analyzed and presented in form of percentages. Results: Diarrhoea was the most common cause of under five children mortality followed by acute respiratory tract infection and pyrexia. Delay in recognition of problem followed by delay in decision making at family level, delay in seeking of health provider and delay in arranging transport were the main social causes of deaths. Most children were attended by local rural medical practitioners both at initial and terminal stages of illness. Conclusions: Efforts to prevent diarrhoea and acute respiratory tract infection must be intensified. Awareness about the services provided by the government and their utilization should be strengthened. 

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