Pub Date : 2019-02-28DOI: 10.17511/ijphr.2019.i1.01
Dr. Priya Ravindra Panicker, Dr. Prem Jerusha J D.
Background: Rapidly progressing population ageing in India translates into more chronic diseases and healthcare expenditure among the elderly. But inadequate geriatric centred services in rural areas may hinder the health seeking behaviour among rural elderly. Hence, this study was done to assess utilization of healthcare facilities by elderly in rural Kanyakumari and to identify factors associated with it. Methods: Elderly people above 60 years of age were selected from rural Kanyakumari by multistage sampling. 250 subjects for the cross-sectional study were finalised after excluding debilitated elderly. Data was collected by a pretested questionnaire after getting informed consent. Results: Mean age of the study group was 70.12 years. 60% of elderly were currently married while 70.8% elderly were unemployed. More than half of the elderly population (57.6%) claimed to avoid healthcare facilities in times of need, citing cost of hospital care (27.6%) and perceived triviality of illness as the most common reasons. More than 75% elderly used out of pocket expenditure to meet healthcare expenses. Most of them (96%) did not have health insurance. Elderly people with education beyond primary school level and belonging to upper socioeconomic status had a statistically significant association with better healthcare utilization. Conclusion: Perception of disease as an age-related phenomenon has to be negated in order to improve healthcare utilization. Also, the importance of healthcare in improving functionality has to be conveyed to the community. Affordable and universal healthcare suited to geriatric needs have to be made available to the rural elderly population.
{"title":"Utilization of healthcare facilities and associated factors among rural elderly in Kanyakumari District, Tamil Nadu","authors":"Dr. Priya Ravindra Panicker, Dr. Prem Jerusha J D.","doi":"10.17511/ijphr.2019.i1.01","DOIUrl":"https://doi.org/10.17511/ijphr.2019.i1.01","url":null,"abstract":"Background: Rapidly progressing population ageing in India translates into more chronic diseases and healthcare expenditure among the elderly. But inadequate geriatric centred services in rural areas may hinder the health seeking behaviour among rural elderly. Hence, this study was done to assess utilization of healthcare facilities by elderly in rural Kanyakumari and to identify factors associated with it. Methods: Elderly people above 60 years of age were selected from rural Kanyakumari by multistage sampling. 250 subjects for the cross-sectional study were finalised after excluding debilitated elderly. Data was collected by a pretested questionnaire after getting informed consent. Results: Mean age of the study group was 70.12 years. 60% of elderly were currently married while 70.8% elderly were unemployed. More than half of the elderly population (57.6%) claimed to avoid healthcare facilities in times of need, citing cost of hospital care (27.6%) and perceived triviality of illness as the most common reasons. More than 75% elderly used out of pocket expenditure to meet healthcare expenses. Most of them (96%) did not have health insurance. Elderly people with education beyond primary school level and belonging to upper socioeconomic status had a statistically significant association with better healthcare utilization. Conclusion: Perception of disease as an age-related phenomenon has to be negated in order to improve healthcare utilization. Also, the importance of healthcare in improving functionality has to be conveyed to the community. Affordable and universal healthcare suited to geriatric needs have to be made available to the rural elderly population.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67416436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17511/ijphr.2018.i2.02
Dr. Praveena Daya A, Dr Krishnaleela G
Prevalence of addictive internet use and its correlates among urban school students in Tamilnadu, South India – a cross-sectional study Daya A P.1, Krishnaleela G.2* DOI: https://doi.org/10.17511/ijphr.2018.i2.02 1 Praveena Daya A, Assistant Professor, Department of Community Medicine, Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India. 2* Krishnaleela G, Associate Professor, Department of Community Medicine, Thoothukudi Medical College, Thoothukudi, Tamil Nadu, India.
{"title":"Prevalence of addictive internet use and its correlates among urban school students in Tamilnadu, South India – a cross-sectional study","authors":"Dr. Praveena Daya A, Dr Krishnaleela G","doi":"10.17511/ijphr.2018.i2.02","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i2.02","url":null,"abstract":"Prevalence of addictive internet use and its correlates among urban school students in Tamilnadu, South India – a cross-sectional study Daya A P.1, Krishnaleela G.2* DOI: https://doi.org/10.17511/ijphr.2018.i2.02 1 Praveena Daya A, Assistant Professor, Department of Community Medicine, Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India. 2* Krishnaleela G, Associate Professor, Department of Community Medicine, Thoothukudi Medical College, Thoothukudi, Tamil Nadu, India.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67416424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.02
Ravi Sankar Deekala, R. AltafHussain, G. Raviprabhu
An interventional study with health education to modify the risk factors for the control of blood pressure among the newly diagnosed adult hypertensives, Andhra Pradesh Sankar Deekala R.1, Hussain R A.2*, Prabhu G R.3 DOI: https://doi.org/10.17511/ijphr.2018.i1.02 1 Ravi Sankar Deekala, Assistant Professor, Department of Community Medicine, SVIMS, Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India. 2* Altaf Hussain R, Associate Professor, Department of Community Medicine, SVIMS, Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India. 3 Ravi Prabhu G, Professor & Head, Department of Community Medicine, ACSR Government Medical College, Nellore, Andhra Pradesh, India.
Andhra Pradesh Sankar Deekala R.1，Hussain R A.2*，Prabhu G R.3 DOI：一项健康教育干预研究，旨在修改新诊断成人高血压患者控制血压的风险因素https://doi.org/10.17511/ijphr.2018.i1.021 Ravi Sankar Deekala，印度安得拉邦蒂鲁帕蒂Sri Padmavathi女子医学院SVIMS社区医学系助理教授。2*Altaf Hussain R，印度安得拉邦蒂鲁帕蒂Sri Padmavathi女子医学院SVIMS社区医学系副教授。3 Ravi Prabhu G，印度安得拉邦内洛雷ACSR政府医学院社区医学系教授兼主任。
{"title":"An interventional study with health education to modify the risk factors for the control of blood pressure among the newly diagnosed adult hypertensives, Andhra Pradesh","authors":"Ravi Sankar Deekala, R. AltafHussain, G. Raviprabhu","doi":"10.17511/ijphr.2018.i1.02","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.02","url":null,"abstract":"An interventional study with health education to modify the risk factors for the control of blood pressure among the newly diagnosed adult hypertensives, Andhra Pradesh Sankar Deekala R.1, Hussain R A.2*, Prabhu G R.3 DOI: https://doi.org/10.17511/ijphr.2018.i1.02 1 Ravi Sankar Deekala, Assistant Professor, Department of Community Medicine, SVIMS, Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India. 2* Altaf Hussain R, Associate Professor, Department of Community Medicine, SVIMS, Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh, India. 3 Ravi Prabhu G, Professor & Head, Department of Community Medicine, ACSR Government Medical College, Nellore, Andhra Pradesh, India.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45206504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.05
Dr. Anand N, Dr. Pugazhendiinban Pugazhendiinban
Background: Blood transfusion plays a vital role in saving the life of those patients requiring transfusion. Assessment of awareness, attitude and practice regarding blood donation will help in creating effective health education strategy to enhance blood donation. Objectives: To assess the knowledge, attitude, and practices regarding blood donation among individuals aged 18-60 years in an urban community of Chennai and to identify the factors associated with blood donation. Methods: A cross-sectional study was carried out in pudupet on the months of May and June, 2017. Table of random numbers was used to recruit a total of 300 study participants. A pilot tested semi structured, questionnaire was employed as a data collection tool. Multiple logistic regression analysis was used to examine association between the independent variables and the dependent variables. Results: Among our study subjects, 45% of them had good knowledge on blood donation and 44% of our subjects had a correct attitude towards blood donation. Only 33.3% of them had good practices towards blood donation. The most common reason quoted for not donating blood was that they were more bothered about their own health which by donating blood would lead on to some health problems. Conclusion: The present study shows an average prevalence of knowledge and attitude among the study subjects whereas when it comes to practice it was found to be less. There should be a regularly scheduled awareness creation and voluntary blood donation campaigns organized at the community level.
{"title":"A study on knowledge, attitude and practice regarding blood donation in an urban community, Chennai","authors":"Dr. Anand N, Dr. Pugazhendiinban Pugazhendiinban","doi":"10.17511/ijphr.2018.i1.05","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.05","url":null,"abstract":"Background: Blood transfusion plays a vital role in saving the life of those patients requiring transfusion. Assessment of awareness, attitude and practice regarding blood donation will help in creating effective health education strategy to enhance blood donation. \u0000Objectives: To assess the knowledge, attitude, and practices regarding blood donation among individuals aged 18-60 years in an urban community of Chennai and to identify the factors associated with blood donation. \u0000Methods: A cross-sectional study was carried out in pudupet on the months of May and June, 2017. Table of random numbers was used to recruit a total of 300 study participants. A pilot tested semi structured, questionnaire was employed as a data collection tool. Multiple logistic regression analysis was used to examine association between the independent variables and the dependent variables. \u0000Results: Among our study subjects, 45% of them had good knowledge on blood donation and 44% of our subjects had a correct attitude towards blood donation. Only 33.3% of them had good practices towards blood donation. The most common reason quoted for not donating blood was that they were more bothered about their own health which by donating blood would lead on to some health problems. \u0000Conclusion: The present study shows an average prevalence of knowledge and attitude among the study subjects whereas when it comes to practice it was found to be less. There should be a regularly scheduled awareness creation and voluntary blood donation campaigns organized at the community level.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43477532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.03
B. Salim, A. Kandaswamy, M. Athira, M. Vijayakumar, R. Adityan, Psgimsr India Oncologist
Micro RNA based cancer screening by blood test: a review Salim B.1*, Kandaswamy A.2, Athira MV.3, Vijay Kumar M.4, Adityan R.5 DOI: https://doi.org/10.17511/ijphr.2018.i1.03 1* Bindu Salim, Professor, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India. 2 Kandaswamy A., Dean, Industrial Research and Development, PSG College of Technology, Coimbatore, Tamilnadu, India. 3 Athira MV, Junior Research Fellow, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India. 4 Madhulika Vijay Kumar, Department of Oncologist, PSG Institute of Medical Sciences & Research, Coimbatore, Tamilnadu, India. 5 Adityan R, Junior Research Fellow, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India.
{"title":"micro RNA based cancer screening by blood test: a review","authors":"B. Salim, A. Kandaswamy, M. Athira, M. Vijayakumar, R. Adityan, Psgimsr India Oncologist","doi":"10.17511/ijphr.2018.i1.03","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.03","url":null,"abstract":"Micro RNA based cancer screening by blood test: a review Salim B.1*, Kandaswamy A.2, Athira MV.3, Vijay Kumar M.4, Adityan R.5 DOI: https://doi.org/10.17511/ijphr.2018.i1.03 1* Bindu Salim, Professor, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India. 2 Kandaswamy A., Dean, Industrial Research and Development, PSG College of Technology, Coimbatore, Tamilnadu, India. 3 Athira MV, Junior Research Fellow, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India. 4 Madhulika Vijay Kumar, Department of Oncologist, PSG Institute of Medical Sciences & Research, Coimbatore, Tamilnadu, India. 5 Adityan R, Junior Research Fellow, Nanotech Research Innovation and Incubation Centre, PSG Institute of Advanced Studies, Coimbatore, Tamilnadu, India.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49123697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.07
A. Mohapatra, P. Giri
Medical tourism (also called medical travel, health tourism or global health care) is a term used to describe the rapidly-growing practice of travelling across international borders to seek healthcare services
{"title":"Medical tourism gaining grounds in India: present scenario and way forward","authors":"A. Mohapatra, P. Giri","doi":"10.17511/ijphr.2018.i1.07","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.07","url":null,"abstract":"Medical tourism (also called medical travel, health tourism or global health care) is a term used to describe the rapidly-growing practice of travelling across international borders to seek healthcare services","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"50-52"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42889709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.06
Arti Gupta, B. Venkatashivareddy, H. Solanki
Cost in high impact journals: The problem for researchers from low and middle income countries Gupta A.1*, Reddy B V.2, Kumar Solanki H.3 DOI: https://doi.org/10.17511/ijphr.2018.i1.06 1* Arti Gupta, Assistant Professor, Department of Community Medicine, Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar, Uttarakhand, India. 2 Venkatashiva Reddy B, Assistant Professor, Department of Community Medicine, Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar, Uttarakhand, India. 3 Hariom Kumar Solanki, Assistant Professor, Department of Community Medicine, Government Medical College, Haldwani, Uttarakhand, India.
{"title":"Cost in high impact journals: The problem for researchers from low and middle income countries","authors":"Arti Gupta, B. Venkatashivareddy, H. Solanki","doi":"10.17511/ijphr.2018.i1.06","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.06","url":null,"abstract":"Cost in high impact journals: The problem for researchers from low and middle income countries Gupta A.1*, Reddy B V.2, Kumar Solanki H.3 DOI: https://doi.org/10.17511/ijphr.2018.i1.06 1* Arti Gupta, Assistant Professor, Department of Community Medicine, Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar, Uttarakhand, India. 2 Venkatashiva Reddy B, Assistant Professor, Department of Community Medicine, Veer Chandra Singh Garhwali Government Medical Sciences and Research Institute, Srinagar, Uttarakhand, India. 3 Hariom Kumar Solanki, Assistant Professor, Department of Community Medicine, Government Medical College, Haldwani, Uttarakhand, India.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47172847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-31DOI: 10.17511/ijphr.2018.i1.04
A. Kaoje, S. Garba, N. Okafoagu, M. Raji, Dr.Yahaya Mohammed, U. Ango
Background: Biomedical wasteshave negative effects on human health and environment; therefore all persons exposed to the waste are potentially at risk, especially waste collectors that handle poorly segregated and containerized waste. The study aim was to describe the pattern of bi omedical waste handling and assess knowledge of its health hazards among handlers in a Tertiary Hospital in Sokoto, Nigeria. Materials and Method: A descriptive cross-sectional study design was used. A total of 180 waste handlers were selected using a simple random sampling method and close-ended interviewer-administered questionnaires were used to collect data. Data was analyzed using SPSS version 23.0 and result presented in table. Results: Nearly half of the respondents were aged between 25-29 years and majority (81%) of the waste handlers are private employees while the public employees accounted for 19%. Wastes from different unit of the hospital were poorly segregated and commonly collected using inappropriate containers without lining. Although only 11% of the respondents received training on waste handling, 98% had good knowledge of health hazards of biomedical waste. All the handlers reported wearing personal protective equipment when handling biomedical waste but only 19% were on PPE during work through inspection. Conclusion: Biomedical wastes from different units were poorly segregated and collected using inappropriate containers. Nearly all the respondents had good knowledge of its health hazards but only few (11%) had received training on biomedical waste handling. Waste should be properly segregated into appropriate containers, PPE to be made readilyavailability and ensure compliance to their use.
{"title":"Biomedical waste handling and knowledge of its health hazards among waste handlers in a tertiary hospital in Sokoto, Nigeria","authors":"A. Kaoje, S. Garba, N. Okafoagu, M. Raji, Dr.Yahaya Mohammed, U. Ango","doi":"10.17511/ijphr.2018.i1.04","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.04","url":null,"abstract":"Background: Biomedical wasteshave negative effects on human health and environment; therefore all persons exposed to the waste are potentially at risk, especially waste collectors that handle poorly segregated and containerized waste. The study aim was to describe the pattern of bi omedical waste handling and assess knowledge of its health hazards among handlers in a Tertiary Hospital in Sokoto, Nigeria. Materials and Method: A descriptive cross-sectional study design was used. A total of 180 waste handlers were selected using a simple random sampling method and close-ended interviewer-administered questionnaires were used to collect data. Data was analyzed using SPSS version 23.0 and result presented in table. Results: Nearly half of the respondents were aged between 25-29 years and majority (81%) of the waste handlers are private employees while the public employees accounted for 19%. Wastes from different unit of the hospital were poorly segregated and commonly collected using inappropriate containers without lining. Although only 11% of the respondents received training on waste handling, 98% had good knowledge of health hazards of biomedical waste. All the handlers reported wearing personal protective equipment when handling biomedical waste but only 19% were on PPE during work through inspection. Conclusion: Biomedical wastes from different units were poorly segregated and collected using inappropriate containers. Nearly all the respondents had good knowledge of its health hazards but only few (11%) had received training on biomedical waste handling. Waste should be properly segregated into appropriate containers, PPE to be made readilyavailability and ensure compliance to their use.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"5 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44319287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.17511/ijphr.2018.i1.01
S. Patel, N. Lilhore, S. Kuwatada
Background: RNTCP (Revised National Tuberculosis Control Program) is an application in India of the (World Health Organisation) WHO recommended (Directly Observed Treatment Short Course) DOTS strategy. Early diagnosis and immediate initiation of treatment are essential for an effective TB control program. Delay under RNTC programme is of types: patients delay, health care systems delay, DOTS delay and total delay. Objectives: To determine average delay on part of patient and health system in diagnosis of tuberculosis, treatment delay in starting DOTS and total delay. Methodology: A cross-sectional descriptive study of 464 tuberculosis patients was conducted in an urban health center (UHC) of an urban slum area of Mumbai. Patients registered under RNTCP during 1 year i.e. from 1 st January to 31 st December 2016 were interviewed regarding their complaints and reporting to a health care facility (time taken and type-private or government), time taken for diagnosis and starting treatment. Thus, four types of delay were calculated. Results: Among 464 patients, mean patient’s delay, health system delay and total delay were 21.09 days (median 15), 14.41 days (median 6) and 35.50 days (median 21) respectively. Almost 60% of total delay was constituted from patient’s delay. Mean treatment delay was 2.84 days (median 3.19). Total delay was significantly longerin females. Almost, 40% of the patients reported to a health facility within 15 days of onset of symptoms. Conclusion: Patient delay was significantly more among sputum negative pulmonary TB patients than sputum positive patients. Health system delay to diagnose TB was more if private practitioners were approached first. Only 11% (35) pulmonary TB patients were advised sputum examination as the first investigation by private practitioners.
{"title":"A cross sectional study to estimate delay in diagnosis and treatment of tuberculosis (TB) among patients attending urban health centre in an urban slum area","authors":"S. Patel, N. Lilhore, S. Kuwatada","doi":"10.17511/ijphr.2018.i1.01","DOIUrl":"https://doi.org/10.17511/ijphr.2018.i1.01","url":null,"abstract":"Background: RNTCP (Revised National Tuberculosis Control Program) is an application in India of the (World Health Organisation) WHO recommended (Directly Observed Treatment Short Course) DOTS strategy. Early diagnosis and immediate initiation of treatment are essential for an effective TB control program. Delay under RNTC programme is of types: patients delay, health care systems delay, DOTS delay and total delay. Objectives: To determine average delay on part of patient and health system in diagnosis of tuberculosis, treatment delay in starting DOTS and total delay. Methodology: A cross-sectional descriptive study of 464 tuberculosis patients was conducted in an urban health center (UHC) of an urban slum area of Mumbai. Patients registered under RNTCP during 1 year i.e. from 1 st January to 31 st December 2016 were interviewed regarding their complaints and reporting to a health care facility (time taken and type-private or government), time taken for diagnosis and starting treatment. Thus, four types of delay were calculated. Results: Among 464 patients, mean patient’s delay, health system delay and total delay were 21.09 days (median 15), 14.41 days (median 6) and 35.50 days (median 21) respectively. Almost 60% of total delay was constituted from patient’s delay. Mean treatment delay was 2.84 days (median 3.19). Total delay was significantly longerin females. Almost, 40% of the patients reported to a health facility within 15 days of onset of symptoms. Conclusion: Patient delay was significantly more among sputum negative pulmonary TB patients than sputum positive patients. Health system delay to diagnose TB was more if private practitioners were approached first. Only 11% (35) pulmonary TB patients were advised sputum examination as the first investigation by private practitioners.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67416380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-31DOI: 10.17511/ijphr.2017.i5.03
A. P. Rabha
Introduction: Children less than five years of age is a critical indicator of the wellbeing of children. In order to reduce infant as well as under-five mortality rate of children, Govt of India has initiated different health programmes as well as recommended Indian Public Health Standards for health care facilities to provide quality health care. Objective: To assess the quality of child health care services at health care facilities at primary and secondary level. Methodology: A cross-sectional study had been conducted at CHCs, PHCs and S/Cs in Kamrup district of Assam. The data had been collected by quality assessment checklists and exit interview with the clients availing the child health services at the health care facilities. Results: The quality of child health care services was assessed by using a system approach-inputs, process and outputs. There were only 66.66% availability of Obstetrics & gynaecology specialist and paediatrician. Physician were available in 33.33% of CHCs. The availability of trained personals was found to be inadequate in all the CHCs and PHCs. Most of the equipments and supplies were available in all the health care facilities. The child health care activities in areas of immunization and cold chain maintenance was found to be satisfactory. Conclusion: The quality of child health care services was found to be average at primary and secondary level.
{"title":"Study on quality assessment of child health care services in a district of Assam","authors":"A. P. Rabha","doi":"10.17511/ijphr.2017.i5.03","DOIUrl":"https://doi.org/10.17511/ijphr.2017.i5.03","url":null,"abstract":"Introduction: Children less than five years of age is a critical indicator of the wellbeing of children. In order to reduce infant as well as under-five mortality rate of children, Govt of India has initiated different health programmes as well as recommended Indian Public Health Standards for health care facilities to provide quality health care. Objective: To assess the quality of child health care services at health care facilities at primary and secondary level. Methodology: A cross-sectional study had been conducted at CHCs, PHCs and S/Cs in Kamrup district of Assam. The data had been collected by quality assessment checklists and exit interview with the clients availing the child health services at the health care facilities. Results: The quality of child health care services was assessed by using a system approach-inputs, process and outputs. There were only 66.66% availability of Obstetrics & gynaecology specialist and paediatrician. Physician were available in 33.33% of CHCs. The availability of trained personals was found to be inadequate in all the CHCs and PHCs. Most of the equipments and supplies were available in all the health care facilities. The child health care activities in areas of immunization and cold chain maintenance was found to be satisfactory. Conclusion: The quality of child health care services was found to be average at primary and secondary level.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":"4 1","pages":"117-124"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47047012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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