scholarly journals Health-seeking behaviour among antenatal and postnatal rural women in Kancheepuram District of Tamil Nadu: A cross-sectional Study

2019 ◽  
Vol 8 (3) ◽  
pp. 1035 ◽  
Author(s):  
S Gopalakrishnan ◽  
VM. Anantha Eashwar ◽  
M Muthulakshmi
BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032039
Author(s):  
Kaung Suu Lwin ◽  
Shuhei Nomura ◽  
Daisuke Yoneoka ◽  
Peter Ueda ◽  
Sarah Krull Abe ◽  
...  

ObjectivesTo examine the associations of parental social and economic position with health-seeking behaviour for diarrhoea and acute respiratory infection (ARI) among under-5 children in Myanmar and explore potential underlying mechanisms.DesignA cross-sectional study.SettingA secondary dataset from the nationwide 2015–2016 Myanmar Demographic and Health Survey (MDHS).ParticipantsAll under-5 children in the sampled households with reported symptoms of diarrhoea and ARI during the 2-week period preceding the MDHS survey interview.Primary and secondary outcome measuresFour parental health-seeking behaviours: ‘seeking treatment’, ‘formal health provider’, ‘public provider’ and ‘private provider’ were considered. Social and economic positions were determined by confirmatory factor analysis. Multilevel logistic regressions were employed to examine the associations of social and economic positions with health-seeking behaviours for diarrhoea and ARI. Mediation analyses were conducted to explore potential underlying mechanisms in these associations.ResultsOf the 4099 under-5 children from the sampled households in MDHS, 427 (10.4%) with diarrhoea and 131 (3.2%) with ARI were considered for the analyses. For diarrhoea, social position was positively associated with seeking treatment and private provider use (adjusted OR: 1.60 (95% CIs: 1.07 to 2.38) and 1.83 (1.00 to 3.34), respectively). Economic position was positively associated with private provider use for diarrhoea (1.57 (1.07 to 2.30)). Negative associations were observed between social and economic positions with public provider use for diarrhoea (0.55 (0.30 to 0.99) and 0.64 (0.43 to 0.94), respectively). Social position had more influence than economic position on parental health-seeking behaviour for children with diarrhoea. No evidence for a significant association of social and economic position with health-seeking for ARI was observed.ConclusionsSocial and economic positions were possible determinants of health-seeking behaviour for diarrhoea among children; and social position had more influence than economic position. The results of this study may contribute to improve relevant interventions for diarrhoea and ARI among children in Myanmar.


Author(s):  
Mohan Kumar P. ◽  
Gopalakrishnan S.

Background: Construction workers form the second largest working group in the un-organized sector and their life depends on the daily wages they earn. This study was planned to assess the health seeking behaviour of construction workers in an urban area of Kancheepuram District in Tamil Nadu.Methods: This descriptive cross-sectional study was done among 302 male construction workers by random sampling from four construction sites using a pre-tested structured questionnaire. Data collected was analysed using SPSS Version 21 software and the result presented using descriptive statistics. Institutional ethical committee approval and informed consent were obtained.Results: Among construction workers, nearly 55% belonged to less than 40 years age. Majority were illiterates and more than half of them were working as helpers for masons, painters and centring workers. About 63.9% were smokers, 62.9% consuming alcohol and 57.6% use other form of tobacco. Nearly 69.9% were pre-hypertensive and 15% were hypertensive. About 87.4% had normal BMI, 5.3% were underweight and 7% were overweight. Nearly 78.8% of workers sought medical care and they preferred allopathic system (97.7%) for treatment. 87.4% preferred treatment from private hospitals while 8.8% preferred to get treatment at the construction site itself and remaining goes to government hospitals for treatment. Most workers (95.0%) preferred outpatient’s treatment.Conclusions: Majority of construction workers prefer private allopathic medical facilities for their medical treatment, even though it adds to their out of pocket expenditure. There seems to be a knowledge gap, convenience and financial burden in their health seeking behaviour.


Author(s):  
Angeline Grace G. ◽  
ArunKumar M. ◽  
Umadevi R.

Background: Menstruation is a normal biological function in females and in the society, the practices followed are highly variable across different regions. This study aimed to determine the practices followed during menstruation by rural women in Kancheepuram district, Tamil Nadu, India.Methods: This community based cross sectional study was carried out between August and October 2018. Sample size of 400 was calculated by using formula 4pq/d2 and female respondents were selected from sampled households using systematic random sampling. Data were collected using a pre-tested, structured questionnaire, which were analysed using SPSS version 16.0 and presented using descriptive and analytical statistics.Results: A total of 395 women were included in the study. About 54% of females belonged to the age group of 26-35 years and 82.5% were married. Use of sanitary pads during menstruation was reported by 28.6% of the females. Other absorbents used were disposable cloths (46.3%) and reusable cloths (25.1%). About 79% of females practiced some form of restriction during menstruation. Females aged <35 years (OR: 2.55, 95% CI: 1.48-4.39) were more likely to use sanitary pad compared to older females. Females who used sanitary pad as absorbent were less likely to have symptoms of reproductive tract infections compared to those who didn’t (OR: 0.51, 95% CI: 0.28-0.94).Conclusions: Menstrual hygiene practices were found be unsatisfactory among the rural women and various restrictions during menstruation were also in practice. Women should be educated about the importance of use of sanitary pads and the harms of using cloths. Awareness also needs to be created to abolish the unnecessary restrictions that are imposed on women to be followed during menstruation.


2017 ◽  
Vol 37 (1) ◽  
pp. 79-82
Author(s):  
U. Anyanwu Onyinye ◽  
T. Eseonu Chinonyelum ◽  
B. Ezeanosike Obumneme ◽  
O. Cliford Okike ◽  
C. Roland Ibekwe

Introduction: A cultural myth Ogbanje have existed among the Ibo people of Nigeria. These children may have morbidities that are manageable while some normal children may have to live with the stigma of being labelled such. The objective of this study was to assess mother’s perception of ogbanje phenomenon and morbidity in ogbanje children.Material and Methods: This was a Cross-sectional study amongst mothers having the concept of “Ogbanje” children who were clinically examined. SPSS version 20.0 was used for data analysis. Variables were compared with χ2. p<0.05 was accepted as significant.Results: A total of 64.8% believed in “Ogbanje”. Commonest presentation of “Ogbanje” was frequent illness (47.3%). Only 12(3.3%) would seek orthodox care for ogbanje children. Examined “ogbanje” children had sicklecell anaemia, structural anomalies, and diabetes. Four (9.5%; n=42) children were normal. Conclusion: Ogbanje myth still exists in the minds of mothers and affects health seeking behaviour. Ogbanje children may have manageable illness and sometimes may be normal.


Author(s):  
M. N. Alam ◽  
Shagufta Khatoon ◽  
Nirmal Verma ◽  
Laxmikant Umate

Background: About 422 million people worldwide have diabetes and 1.6 million deaths each year. Global target is to halt the rise in diabetes and obesity by 2025. In context of above background study was conducted with the aim and objective to determine the risk factor and health seeking behaviour among adult’s diabetics who visited urban health and training centre (UHTC) of a tertiary care Institution.Methods: A cross-sectional study was conducted on 150 adult’s diabetics who visited NCD clinic at UHTC, of a tertiary care institution from June 2020 to May 2021. Semi open questionnaire was used. Study setting was department of community medicine, Chandulal Chandrakar Memorial Medical College, Durg, Chhattisgarh. Ethical consent was taken from institutional ethical committee and written informed consent obtained from all the participants. Data analysis done using SPSS software. Statistical significance obtained using Chi-square test at p value <0.05.Results: About 81% of subjects had good drug compliance whereas 19% had poor compliance. About 5% had exclusively supply from hospital whereas 45% from both sources hospital and medicine shop and 50% from shop only. About 69% of subjects were involved in physical activities whereas 31% did not had any physical activities. About 45% were addicted to substance abuse. Prevalence of diabetes was maximum 38% in age group 50-60 years. The mean age of diagnosis of diabetes was 45.92±13.58 years.Conclusions: Diabetes was maximum in late adulthood and majority were utilising both medicine shop and hospital for health care. 


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