13 research outputs found
Prevalence of internet addiction, internet usage patterns and associated factors: A cross sectional study among students of a medical college in Odisha
No full text
Perceptions and practices of various maternal and child health services: a study among women of reproductive age group in a costal block of Ganjam District, Odisha
No full textBackground: “Healthy mothers - Healthy children” and “children’s health - tomorrows health”. Any intervention which should be planned towards the upliftment of health status of this group must start with gathering information about their present status especially in the underprivileged section. This study was conducted with an objective to assess perceptions and practices of various Maternal and Health services in the study group.Methods: An observational, cross-sectional study was conducted among women in reproductive age group residing in villages of a coastal block with a predesigned and pretested questionnaire.Results: Among the study population 54.7% women were in the 25-34 years age group, majority (46.7%) were illiterate and one-fourth of the study population age at marriage was below 18 years. Though 90.7% of study population were aware of the ongoing contraceptive practises only 37.4% of the respondents accepted some or other contraceptive methods. Fear of side effects (35.4%) found to be the chief reasons for unwillingness for adopting contraception. Majority (90.2%) responded that pregnant women need to go for ANC but only 51.9% knew correctly about minimum number of ANC. Women having adequate knowledge on ANC was found to be significantly associated with their educational status and age at marriage. Among PNC mothers 57.6% had completed the requisite no. of ANC and only 30% of respondents had completed the course of iron and folic acid tablet during their last pregnancy.Conclusions: The literacy status of the study population has to be improved which will lead to demand generation and utilization of the health and other services provided by the Government.</jats:p
Utilisation of Adolescent Health Services Under RMNCH+A in an Urban Slum of Berhampur, Odisha, India
No full textEcological study for prioritization of districts of Odisha for swacch bharat mission implementation based on a new modified environmental sanitation index using census 2011 and AHS 2012 data
No full textBackground: Open defecation practices and contaminated drinking water are the two major sources of excreta-related infections. Swacch Bharat Mission (SBM) is a cleanliness campaign launched in India in 2014 for duration of five years. Primary Objectives: 1. Determine the effect of open defecation and drinking water sources on the incidence of diarrheal diseases in Odisha. 2. Categorisation of the districts according to a Modified Environmental Sanitation Index (M.E.S.I).Methods: Type of study: Ecological study. Study instrument: Secondary data collected from Census of India-2011 and Annual Health Survey report, 2012. A Modified E.S.I (M.E.S.I.) score was calculated for Odisha using ESI template developed by Balamurugan and Ravichandran. Statistical analyses were done using GNU PSPP Statistical Analysis Software Release 0.9.0. Results: According to the Census of India, 2,129,276 (22.04%) households in Odisha used latrines, including water closet and pit latrines. From the AHS-2012 data it was found that the overall incidence of diarrhea /dysentery in Odisha was 5.92 per 1000 population. Association with diarrheal disease incidence was estimated after classifying districts into 4 categories according to the use of latrines as <10%, 10-20%, 20-30% and >30%. The mean incidence of diarrheal diseases was lower in districts that had higher use of toilets. The variables from each broad category were classified into positive and negative indicators for ESI calculation and MESI score was calculated. Based on the M.E.S.I, the districts were ranked. Dhenkanal, Kandhamal, Nayagarh were ranked worst. Conclusions: Districts should be prioritized based on MESI score for effective SBM implementation. </jats:p
A study on evaluation of health and nutrition day in urban slums of Berhampur, Odisha
No full textBackground: Urban health and nutrition day (UHND) serves as a common platform to deliver maternal, child health care, nutrition and WASH services to the urban poor population. This study was formulated with an objective to study the availability of resources at the UHND, to assess the services provided and to determine the satisfaction by the beneficiaries.Methods: A cross sectional study was conducted in urban slum of Berhampur from November 2016 to January 2017 and 10% of UHND sessions were observed. Data was collected regarding the presence of service providers at the session sites, availability of required equipments and supplies with the help of a semi-structured checklist. In-depth interviews of the service providers and exit interview from the beneficiaries from each session was taken after obtaining their informed consent and analyzed.Results: Out of 21 sessions, ANMs were present at all sessions but AWWs were present only at 61.9% sessions. Examination table, bed screen were not present at any session. Registration of pregnant women & BP measurement was done at 90.5% but abdominal examination of the woman were not performed. Weighing of children and plotting of weight on the card was done in 71.4% and 52.4% sessions respectively. 78.5% clients were satisfied with the quality of services they received.Conclusions: There was inadequate logistics identified in many UHND sessions. Hence strengthening of resources and infrastructure as well as regular supportive supervision is recommended to ensure provision of quality services. </jats:p
Prevalence of internet addiction, internet usage patterns and associated factors: A cross sectional study among students of a medical college in Odisha
No full textBackground: With the universality of internet, the problems with its overuse and abuse have been increasing in recent times.
Methods: This cross sectional study was conducted among all the students on rolls of MKCG medical college, Berhampur using the young's internet addiction test for assessment of internet addiction.
Results: Mobile phones were the primary source of internet in 73.9% subjects. Average online time was 3.59 hours per day. Prevalence of mild or moderate internet addiction was 26.3% with no significant difference between males and females. Significant positive correlation was found between the BMI of the subjects and duration of internet use in the last 24 hours. The mean amount of money spent by the students to purchase internet connection per month is Rs.290.30. There was significant negative linear correlation between the estimated daily time spent on the internet (μ=3.59, SD=3.51) and time spent on studies (μ=4.38, SD=2.5) (r = -0.107, p=0.016); and time of continuous night sleep (μ=7.07, SD=1.39) (r= -0.237, p<0.01). The most frequent cause for internet access overall was social networking followed by educational uses. Average duration of internet usage in a typical day, internet usage in the past 24 hours, the amount of money spent per month on internet services, and duration since internet use commenced showed significant positive correlation as predictors of internet addiction (Adjusted R2=0.089, p<0.01).
Conclusion: The findings of this study imply that internet addiction is a rising public health problem with multiple contributing factor
A study on the correctness of the prescription pattern of suspected cases of malaria attending a tertiary hospital
No full textContext: In India, malaria is a potentially life threatening parasitic disease caused mainly by Plasmodium vivax and Plasmodium falciparum. Lack of early diagnosis and inadequate treatment leads to a high morbidity and mortality. Analysis of prescription pattern is the key to know actual management of a disease given in different levels of health care.
Aim: To assess the drug prescription patterns of suspected cases of malaria attending the medicine and Paediatrics out-patient department (OPD) of MKCG Medical College, Berhampur.
Settings and Design: It was a cross-sectional study carried out in the Medicine and Paediatrics OPD of M.K.C.G. Medical College, Berhampur, Odisha between October 2014 to March 2015.
Material and Methods: 631 prescriptions were analysed over a period of six months. Data were collected in pre-designed Case Record Form. Statistical analysis: Data was entered and analysed using SPSS version 16.0.
Results: About (60%) of the total prescriptions analysed belonged to the Department of Paediatrics. Only 12% of the prescriptions were “legible with effort”. Majority (49%) of the prescribers were post graduate trainees. ℞ or superscription was present in 87% of the prescriptions. A provisional diagnosis of complicated malaria was written in 35% of prescriptions. Brand names were used in 76% prescriptions. Average number of drugs was 3.7 drug per prescription. Anti-malarial treatment was prescribed in 90% of suspected malaria cases attending OPDs irrespective of investigation report. Not a single patient was advised to take primaquine.
Conclusions: Anti-malarial treatment was prescribed in almost all suspected malaria cases attending OPDs irrespective of investigation report
Assessment of prescription pattern of under-five diarrhea cases in Western Odisha
No full textIntroduction:
Diarrhea is the second leading cause of death among under-five children. Prescription review by the authorities of the health facilities every month for the improvement of the quality of prescription writing of Medical practitioners is very essentials. With this background, the present study was conducted to assess the prescription patterns of healthcare providers for under-five diarrhea cases and to study the factors responsible for nonadherence to protocol of prescription patterns.
Methodology:
This cross-sectional study was conducted in the health facilities of two aspirational districts of Odisha. All secondary- and tertiary-level health institutions with 2–3 randomly selected PHCs of that blocks of the two districts were the study units. Mixed methods were used for data collection. Primary data were collected by in-depth interview of doctor and pharmacist. Secondary data were collected by review of records such as OPD ticket, IPD ticket, OPD register, dispensing register, and stock registers.
Results:
Of the 64 health facilities visited, a total of 516 prescriptions [217 (42%)] scanned/carbon copy of OPD ticket, 238 (46%) data from register on drug prescription, and 61 (11.8%) IPD record data were collected. Duration of diarrhea illness was not mentioned in any of the prescriptions which is important criteria for classifying the type of diarrhea and treatment. Signs of dehydration and degree of dehydration were mentioned in very few prescriptions of both the district. For the treatment of diarrhea cases, 2 to 4 medicines were prescribed in majority of 146 (67.3%), followed by more than four medicines in 38 (17.5%) prescriptions, and less than two medicines were prescribed in 33 (15.2%) cases. All prescriptions from MCH and SDH had ORS and zinc. Though all of them knew about the management protocol as per IMNCI, to be on the safe onside they used to prescribe more medicines to under-five diarrhea cases. None had the knowledge on five types of management plan.
Conclusion:
For under-five diarrhea cases, care should be taken to write the detail examination finding, weight of the child, associated comorbid condition, and advice on feeding in the prescription
Doctors on duty: the real-life heroes during pandemic: Your opinion matters!!!
No full textBackground: Data for front-line health-care workers, risk of disease is limited so as the resources available. Although inspiring stories on doctors fighting against COVID-19-19 were covered we are still unaware of the challenges at ground level. The present study throws light on it and provides way through towards resolving the issues. Objectives:1. To assess the perceptions of the doctors towards the process of COVID-19-19 crisis management. 2.To identify the challenges and recommend solutions based on their views, suggestions. Methods: A cross sectional study on perception of doctors (94) involved in COVID-19 duty was conducted during July to September 2020, with the help of pre-validated semi-structured questionnaire through online google survey form. The questionnaire had demographic details, views on before, during and after the COVID-19 duty along with 4 open ended questions on their good and bad experiences, problems & suggestions. Descriptive statistics for quantitative & thematic analysis for qualitative data was used. Results: Nonresponse rate was 26%, mean age 27.55 year. Majority were from clinical departments (78%). 42% felt that training was proper, 60% adequate PPE kit, 52.6% were aware of management strategy, 86% stressed,82% found difficulties in communication. 42% were provided proper quarantine facility yet, 58% faced discrimination. Few themes emerged under challenges like lack of resources & training, stress & burnout, for which patient sensitization, refresher training, psychological & administrative support was suggested. Conclusion: Although COVID-19 pandemic has impacted life of doctors in either way, the challenges could easily be tackled by the recommended simple solutions
