Indian Journal of Community Health
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Work-Life Balance and Occupational Stress of the Non-Gazetted Central Reserve Police Force Jawans in Chandauli
Background: A good work life balance is essential for the employees of any organization because it emphasize on balancing the personal and professional life. However there is scarcity of studies focusing work-life balance of defense force employees in India. Aims & Objectives: The present study explores the Work-Life Balance and Occupational Stress of the Non-Gazetted Central Reserve Police Force (CRPF) Jawans. The main objective behind conducting this study is to investigate the relationship between Work Life Balance and Occupational Stress among the Non-Gazetted CRPF Jawans. Methods: The present study is a quantitative cross-sectional study based on data collected from 354 non-gazetted officers of 148th battalion in Chandauli, Uttar Pradesh, India. Data was collected from after receiving written consent from the respondents. A semi-structured questionnaire was designed to collect the data which included questions related to socio-demographic characteristics, 13 self-developed questions related to work life balance and 46 items Occupational Stress scale developed by Srivastava & Singh. Result: Most of the CRPF Jawans had moderate occupational stress and high work-life balance. The study found moderate negative correlation between Work Life Balance score and Occupational Stress score among the non-gazetted CRPF Jawans
Sibling Authors Propose Bipolar Disorder Of Publishing Biomedical Research: With MEDLINE Footprint Imploding And Retraction Footprint Fudging, Can Pursuit For PubMed® Footprint Challenge Humane Human Imprinting By Physician Scientists?
With continents and oceans in-between, sibling authors, one from a BRICS (Brazil, Russia, India, China, South Africa) nation and other from a G7 (Canada, England, France, Germany, Italy, Japan, United States) nation, propose christening bipolar disorder of publishing biomedical research
A Study of Clinico-social Profile of Animal Bite Patients Attending the Antirabies Clinic of BRD Medical College, Gorakhpur
Background: Rabies is one of zoonotic viral disease, estimated to cause 59000 human deaths annually in over 150 countries, of which 20,000 are from India alone; about 40% of which are in children under the age of 15. Rabies though 100% fatal is preventable with post-exposure prophylaxis which includes wound washing, anti-rabies vaccination and rabies immunoglobulin.
Objective: To describe the clinico-social profile of animal bite patients attending the anti-rabies clinic of BRD Medical College, Gorakhpur.
Methodology: A cross-sectional study was conducted in the anti-rabies clinic of Nehru hospital, BRD Medical College, Gorakhpur from January 2022 to May 2022. Study participants were interviewed by using a pre-phrased, pre-designed and pre-tested questionnaire. Data regarding socio-demographic and clinical profile of the study participants following animal bite exposure was collected.
Results: The total number of animal bite victims were 250, in which majority of them were males (76.77%) and highest percentage was of adult population (20-59 years). Maximum number of victims were from rural area (78.70%). 19.35% were working and 39.35% were students. 77.43% were category III bites and in 50.96% cases lower limb was the site of bite and dogs were responsible for 89.67% of the bites. 60.64% victims did not wash the wound properly before reaching the anti-rabies clinic.
Conclusion: This study concludes that as majority of the animal bite victims were students and majority of victims were unaware about the importance of wound care, therefore a step can be taken to create awareness in various schools
Prevalence, Socio-cultural Restrictions and Determinants of School Absenteeism during Menstruation among Adolescent School Girls in Bangalore
Introduction: Menstrual-related problems are one of the most common problems among adolescent girls and might adversely affect their performance in academic and other activities of daily life.
Aims & Objectives: 1. To determine the prevalence of school absenteeism among adolescent school girls during menstruation. 2. To assess the restrictions which are imposed on adolescent school girls during menstruation. 3. To evaluate the various factors associated with school absenteeism during menstruation.
Methods: A study was conducted by carrying out a questionnaire and focus group discussion between October 2019-January 2020 in seven schools of Bangalore city after obtaining the assent and informed consent signed by their parents.
Result: The mean age of the girls was 14.45 ± 1.71. The proportion of school absenteeism during menstruation was (30.25%). The majority (89.25%) of the students among the school absentees missed one day of school during menstruation. Among the school absentees, pain/discomfort was one of the main reasons for missing school, accounting for (69.42%). (46.25%) of the students were restricted from any kind of religious activities. Pain during menstruation, shame, fear of leakage, lack of toilet or water supply, lack of a place to dispose of sanitary pads and absence of a private place to manage periods were some factors that were associated with school absenteeism during menstruation.
Conclusion: Considerably high school absenteeism among adolescent girls due to menstruation was noted in this study, highlighting the need for improved interventions that reach girls at a young age
Assessment of Organizational Role Stress among Health Care Workers working in Sub Health Centres of Raipur District Chhattisgarh
Background: Organizational-related stress is a global issue. Organizational Role Stress (ORS) is described as “The emotional, cognitive, behavioural, and physiological reaction to aversive and noxious aspects of work, work environments, and work organizations.” Studies have indicated that when compared to other professions, Health Care Workers (HCWs) are at higher risk of organizational stress with rising job expectations. Aim & Objective: To determine the Organizational Role of Stress among Health Care Workers working in Sub Health Centres of Raipur District Chhattisgarh and its association with sociodemographic characteristics. Methods and Material: A descriptive cross-sectional study among 113 HCWs was done by using a self-administered questionnaire, using Pareek’s ORS Scale to determine 10 dimensions of Role Stress such as Inter-Role Distance, Role Stagnation, Role Expectation Conflict, Role Erosion, Role Overload, Role Isolation, Personal Inadequacy, Self-Role Distance, Role Ambiguity, and Resource Inadequacy. HCWs were selected by simple random sampling. Results: Role overload was the cause of the greatest role stress level among HCWs. Levels of ORS were observed to have a statistically significant association with higher among female HCWs, among unmarried, among nuclear families, those who were educated below 10th standard, and among the upper class. Conclusions: This study\u27s findings need administrators and policymakers to establish an attractive working environment to reduce the side effects and effects of role stress and boost the HCWs\u27 productivity
Utilization of Reproductive and Child Health Services and Client Satisfaction from Urban Primary Health Centers by Recently Delivered Women Living in Urban Slums of Lucknow, India
Background: Due to rapid urbanization, there is an increase in population in slums often lacking access to basic health services. Objective: The purpose of this study was to assess the utilization of reproductive and child health services by recently delivered women and their children residing in catchment areas of urban PHCs, to evaluate their level of satisfaction and to determine the
factors associated with utilization of these services by recently delivered women.
Settings and Design: The study was conducted in the catchment areas of urban primary health centre of Lucknow.
Methods and Material: A cross-sectional study was conducted among 320 women having children less than 24 months in the slums covered under selected U-PHCs, sampled through a multi-stage random sampling technique using a semi-structured questionnaire.
Statistical analysis used: SPSS-26 and MedCalc software were used for data analysis.
Results: Utilization of RCH services by recently delivered women from UPHC was 39%. About 24% of recently delivered women availed ANC services from UPHC and 56.7% utilized family planning services and 95.8% immunization services for children. Child care services for diarrhea and ARI were availed by 9.9 and 3.1% of women, respectively. Satisfaction regarding maternal care and immunization services was seen in 84 and 95.8% of women. Poor satisfaction regarding child care was seen in 56.5% of women.
Conclusions: The utilization of RCH services was found to be poor in the study population. Most recently delivered women
were satisfied with all services except child care
Hyperacute Liver Failure with Multi-organ Dysfunction Syndrome (MODS) by Leptospirosis: A Case Report
Introduction: Leptospirosis may have multi-organ involvement in its severe form with potentially life-threatening consequences. However, acute fulminant hepatic failure is very uncommonly reported. A case study is presented here with fulminant hepatic failure and a diagnostic dilemma for etiology.Case history: A 40-year-old man with no significant medical history presented with fever, muscle pain, weakness, and pain in the upper abdomen. On clinical work, he has developed multi-organ hepatic, respiratory, and renal failure. A timely workup was done, but due to the rapid progression of the disease, the patient succumbed to the disease in the intensive care unit by the time his report for positive leptospirosis test arrived.Conclusion: Leptospirosis must be considered as an important differential diagnosis of acute liver failure patients. An early suspicion for leptospirosis in patients with fulminant hepatic failure and multi-organ failure in India particularly in the rainy season is warranted owing to its high mortality rate
Occupational stress among community health workers in a rural field practice area of Belagavi
Introduction: Community health workers (CHW) are the first level of contact between the health system and the community. This study aimed to find out the level and areas of occupational stress among CHWs so that they can be addressed accordingly. Methods: This study was carried out among 105 CHWs in a rural field practice area of Belagavi. A pre-tested, structured, standard questionnaire was provided to them. After obtaining informed consent, they were asked to fill in the questionnaire. The collected data was entered and analysed through SPSS Version 26. Results: The mean age of the participants was 41.91 years. Majority were Hindu (79.1%). Most of the participants had completed high school (51.4%). 25.7% of the participants belonged to socioeconomic class IV, 34.3% said that theirs is the only income in the family, and 22.9% said that salary is the motivation for them to continue working. Among the participants, 16.19% had low stress, 80.95% moderate stress, and 2.85% high stress. The major area of stress was role overload (18.3%). Conclusion: CHWs are vital for the efficient functioning of primary health services at community level and their role in healthcare and the delivery of various national health programmes is indispensable, so their health and proper work environment should be ensured and safeguarded
WHO Growth Charts for Diagnosis of Malnutrition
Child malnutrition is a major public health issue worldwide. An estimated 144 million children under age 5 are stunted, 47 million are wasted and 38.3 million have overweight or obesity. Around 45% of deaths among children under 5 years of age are linked to undernutrition.1 Measuring the growth of infants and children is an important part of child health surveillance and gives an idea about the nutritional status of the baby. Inadequate infant growth leads to under-nutrition in children in many low- and middle-income countries, which, if followed later in life by an increased intake of calories, can result in overweight or obesity and non- communicable diseases
Comparison of prices of commonly used drugs in AMRIT pharmacy, Jan Aushadhi Centre and Private chemist shop: An analytical study from a tertiary care centre in Haryana
Background: The price of medicine in India has always been a point of discussion in public domain. The price range of the same drug is very large with more than 100% difference between various brands available in different settings. Aims and Objectives: To assess the price of different drugs at Jan Aushasdhi (JA), AMRIT and Private Chemist and to compare the prices of these three outlets so that the issues. Material and Methods: This institution-based cross-sectional study was carried out from May 2019 to June 2019. A pretested proforma was prepared to compare the prices of 284 different medicines in Jan Aushadhi, AMRIT and private chemist shops. The collected data were entered in an Excel spreadsheet and presented in Proportions, percentages, and mean. Results: The price of 284 medicines were compared from JA (Median(IQR)- 15.18(18.75) INR) and Private chemist shop (Median(IQR)-88(111.5) INR) while 249 medicine from AMRIT (Median(IQR)-61.05(78.33) INR). Although the majority of the AMRIT drugs are cheaper than the chemist shop except for 31% of Antipsychotic drugs, 26.6% of antihypertensives, 25% of respiratory drugs, 25% of steroids, 21.9% of antibiotics. Conclusion: We concluded that JA is providing drugs cheaper than AMRIT and Private chemist . The prices of medicines offered at AMRIT are lower than market pricing but they are costlier when compared to JA prices