ABSTRACT
Background: In COIVD 19 pandemic there were reports which have stated that 70% of HCWs are under psychosocial distress [12] that抯 why it becomes more important to find out to what extent psychosocial distress has affected the knowledge of ICP and its quality of measures. Objectives: To findan association between the psychosocial condition of health workersand ICP measured followed. Materials and Methods: A study was conducted among the health workers who worked for COVID 19 through a self-reporting questionnaire with a google form from September 2020 to October 2020. Demographical, ICP measure and psychosocial data were collected from 42 HCWswho have worked in COVID 19 for more than 30 days. Analysis was done by PSPP, Epi info, R and excel. Results: ICPM scale (ICP Measure Followed by HCW) which was the dependent variable and independent variables were T & E (Training and Education), SSRS (Social Support Rate Scale), SRAS (Self-Rating Anxiety Scale), SRDS (Self-Rating Depression Scale), GSES (General Self-Efficacy Scale ), SASR (Stanford Acute Stress Reaction), PSQI (Pittsburgh Sleep Quality Index), Age, Duty hours per day, Hours in PPE per day and violence. By SEM (Structural equation model) association was found between the SSRS score effect on ICPM score (? = 0.38, P = 0.000), Hour in PPE score effect on ICPM score (? = 0.21, P = 0.023), violence effect on ICPM score (? = 0.32, P = 0.001) and SRDS score negatively affect on ICPM score (? = - 0.17, P = 0.059) with Adjusted R Square of 0.6 at P=0.000, RMSEA 0.000, SRMR 0.002, GFI 1.00, AGFI 1.00, NFI 1.00, NNFI 1.00, CFI 1.00, ECVI 0.571. Conclusions: A significant association was found between ICP measures followed by HCWs and training education given to them, social support, hours spent in PPE, violence. Even a significant association was seen between violence and sleep quality, the anxiety of HCWs.
ABSTRACT
Background: Malnutrition among under-five children is a foremost public health problem across India. United Nation estimates that 6.3 million under age-five mortality were occurred in India, of which 45% died due to malnutrition. The objective of the study was to find out the prevalence and factor associated with malnutrition in term of underweight, stunning, and wasting in children under five years of age in peri-tribal areas. Methods: Cross sectional study was conducted at the Anganwadi centres in 6 villages under the Rural Health Training Centre. Out of nine Anganwadi centres, five were selected using systematic random sampling method. Total of 370 children aged below five years were selected. Results: Among the 370 children aged 0-5 years, (29.1%) children were normally nourished, (70.79%) children were malnourished and had one or more form of malnutrition. Only stunting was present in (19.5%) children and only wasting was present in (8.9%) children. Children (5.94%) was suffering from underweight and stunting both. Stunting and wasting both was present in (22.16%) children and wasting and underweight both was present in (10.5%) children. respectively, (1%) Children were suffering from underweight, stunting and wasting. All three indices (Underweight, Stunting & Wasting) of under nutrition were found to be higher in low-birth-weight children. Conclusion: Mother's educational qualification is strongly associated with nutritional status of their children. This might be due to better health care practices in terms of proper exclusive breast feeding, in-time complementary feeding and quality and quantity of complementary feeding among literate mothers as compared to illiterate mothers.