ABSTRACT
Background: Nomophobia, stands for “no mobile phone phobia". The tremendous increase in mobile phone usage among youngsters has led to negative impact on their mental health status. Current study aims at finding out the prevalence of nomophobia (mild, moderate, and severe), various health related conditions and independent risk factors of severe nomophobia among medical students of a tertiary care college and Hospital of Central Odisha.Methods: A cross sectional study carried out among 450 students of a medical college of Central Odisha. Simple random sampling was done. Predesigned pretested questionnaire including Nomophobia questionnaire (NMP-Q) was used for data collection. Data was analyzed using SPSS and logistic regression was used to evaluate the independent risk factors of severe nomophobia.Results: Out of 450 students, 246 (54.6%) were boys and rest were girls. Nomohobia was universally present and students suffering from mild, moderate and severe form of nomophobia comprised of 33 (7.3%), 327 (72.7%) and 90 (20%) respectively. Independent risk factors of severe nomophobia were fourth year of study and above (aOR=2.69), use of costly handsets (aOR=4.56), monthly bill of more than rupees 500 for cell phone use (aOR=6.09) and anxiousness of staying updated with news all the time (aOR=4.86).Conclusions: Nomophobia is a highly prevalent condition among the medical students found across age groups, gender and socio-economic status which depends on phone usage. It is recommended that screening and proper counselling should be available in order to decrease the burden and create awareness about nomophobia among the medical students.
ABSTRACT
Background: Severe acute malnutrition (SAM) places extraordinary challenges in the way of survival, growth and development of the child under five years of age. Our aim was to evaluate the functioning and performance of facility based management of SAM children admitted in the nutrition rehabilitation centre (NRC) and to identify the existing bottlenecks in the NRC.Methods: Children above 1 month and less than 5 years of age with severe acute malnutrition were included during the study period. Demographic details of the SAM children, clinical features during admission were recorded. Anthropometric measurements like MUAC, weight, height/length and WHZ scores were taken at admission and compared with the findings at discharge. Statistical analysis: the data after collection, compilation was analysed by SPSS.Results: Majority 277 (78.47%) of them belonged to rural areas. 300 (85%) SAM children were referred by medical officers. Bilateral oedema was recorded in 12 (17.9%) admitted children during 2014-2015, 22 (17.9%) children in 2015-2016 and in 37 (22.7%) children during 2016-2017. There was significant improvement in the mean weight (kg) and mean MUAC (cm) at discharge was in comparison to the weight and MUAC of the children at admission and this difference in increase in the mean weight and MUAC were found to be statistically significant.Conclusions: Implementation of WHO feeding guidelines resulted in adequate weight gain of inpatient malnourished children, however the frontline workers in the community and health care providers of PHCs should be trained and given hands on training for early identification and referral of SAM cases
ABSTRACT
Background: Our aim was to study the socio demographic determinants of ASHA workers, to study the work profile of the ASHA workers, to assess the knowledge, awareness and practice of their roles and responsibilities in the delivery of health care services and to suggest specific recommendations on the ASHA scheme based on the study findings.Methods: The type of study was a cross sectional study, placed at Khordha district in Odisha. Time Period of this study was March to June 2018. 1218 ASHAs were finally included in the study. On the days of the monthly sector / block level meetings with ASHA workers they were appraised and accordingly a predesigned, pretested questionnaire was implemented to them.Results: Nearly 93% of ASHA workers were trained with module 1 to 5, first AID and DOTs training. Refresher training was given to 34% of ASHA workers, FTD/Malaria training was given to 88.4% of ASHA workers. 1218 (100%) ASHA’s helped in immunization. Majority of them 1199 (98.4%) accompanied delivery cases and 1198 (98.3%) were aware about family planning activities.Conclusions: Activities of ASHA’s should be increased with a corresponding increase in incentives, so that she can get up to Rs. 10000-15000 per month. IEC/BCC skills to ASHA may be built by short course certification. Other services like strengthening the role of ASHA on promotive and preventive health care particularly age at marriage, nutrition, home based care delay in first child birth and spacing between 1st and 2nd birth.