ABSTRACT
Background: The level of patient satisfaction must be evaluated periodically to assess the quality of health care provided by the government and to improve health care delivery in developing nations. The purpose of the study is to determine the level of patient satisfaction and their perception of violence against doctors among in-patients attending government teaching hospital. Methodology: It was a cross-sectional study among in-patients of government teaching hospital in North Karnataka. A predesigned structured Patient Satisfaction Questionnaire –18 (PSQ–18), along with self-framed violence questionnaire was used as study tools. Descriptive Statistics, ANOVA & Kruskal - Wallis tests were done using SPSS version 16. Results: The mean score for overall satisfaction was 3.72± 0.387. The mean patient satisfaction was highest for interpersonal manner (4.00 ±0.72) & the least was accessibility and convenience (3.52±0.58). Among the study subjects47.5% had heard about the violence against the doctors, 33.5% said violence against doctors is on rise. Violence against doctors was unethical according to 57.5% and 60% said it must summon punish-ment. Conclusions: The overall patient satisfaction was good; accessibility and convenience need to be improved. The study helps in understanding patient’s needs in various dimensions of health care.
ABSTRACT
Background: HIV infection is one of the raising public health problems. HIV diagnosis is usually associated with stigma and often results in mental illness among the people infected. Depression is the most common mental illness in HIV patients as found by various studies. Hence the present study aimed to determine the proportion of depression and its socio-demographic and clinical predictors among people living with HIV/AIDS (PLHA).Methods: A hospital based cross sectional study was done among 322 PLHA on Antiretroviral therapy attending ART centre at GIMS Teaching Hospital, Gadag. After taking written informed consent from the patients, a predesigned proforma which included socio-demographic variables, clinical details, and CD-4 count, along with patient health questionnaire (PHQ) 9 was administered to assess depression in PLHA.Results: Out of the 322 people living with HIV/AIDS, 108 (33.5%) had depressed. According to PHQ 9 questionnaire, 19.9% had mild depression, 10.6% moderate depression and 3.1% had moderate severe depression. It was noted that 40.3% of females had depression compared to 24.8% of males. PHLA who were on ART for less than one year had higher proportion of depression (61.1%) compared to those with 5 years duration of ART (28.6%) and it was statistically significant.Conclusions: In the study 33.5% of PHLA had depression. Socio-economic status, gender, duration of ART had significant association with depression whereas age, education, place of residence, CD4 count were not associated with depression. Depression screening among PHLA can be done at regular follows ups at ART centres.
ABSTRACT
Environment can be defined collectively as physical, social, economic and psychological forces which affect the society in general and individuals in particular. The lengthiness of adolescence, the myriad changes, the uncertainty about the future, the anxiety over choices and other real life situations bring about stressful conditions to the adolescents. The Influence of Environmental factor (Socio Economic Status) on the Stress of adolescents was analyzed in 600 adolescents in the age group of 15 – 16 years, selected from various colleges of Mysore City. Out of 600 selected subjects 300 were adolescent boys and 300 were adolescent girls who represented equally all the three socio-economic groups namely, upper, middle and lower groups. The Socio Economic Status Scale and the Perceived Stressful Life Events Scale was administered to assess the Socio Economic status and the Environmental Stress of Adolescents. The results revealed that the lower class adolescent boys and girls exhibited comparatively high degree of environmental stress ranging from severe to moderate levels as compared to middle and upper class adolescent boys and girls and adolescent boys have experienced high degree of stress ranging from severe to moderate levels as compared to the adolescent girls. A highly significant difference is noted between the environmental factor and stress of adolescents. Parental care, involvement, guidance and immense support in time of need benefit and ensure adolescents healthy development.
ABSTRACT
Background: Over the past decade, national plans and programmes in India have stressed the need for universal access to health care especially the maternal & child health services in rural area. Many studies have revealed low utilization of the health care services by different segments of the society for varying reasons. With each Medical college adopting three Primary Health Centres, it is expected that there will be an increase in the utilization of the health service. This study was formulated against this background, with an objective of studying the factors influencing the utilization of health services in the spectrum of antenatal periods of a mother. Aims & Objective: (1) To study the factors influencing the utilization of antenatal health care services in a rural area. (2) To study the content and quality of antenatal care. Materials and Methods: A cross sectional study conducted at Handignur, Primary health centre, Belgaum. Mothers who delivered during one year period were interviewed using a predesigned questionnaire. Analysis was done by calculating Proportions and using Chi-square test. Results: All the mothers had registered antenatal. Out of 497 mothers, 311(62.6%) mothers utilized full antenatal care. Weight, height, blood pressure, haemoglobin measurement and abdominal examination were performed in more than 95% of mothers. The socio- demographic factors like literacy status, occupation, socioeconomic status and parity were found to influence the pattern of utilization. Conclusion: The results revealed that utilization of antenatal services was good as majority of them received full antenatal care. The prime reason for non- compliance of IFA tablets was side effects. The private health facility was utilized more compared to government services.
ABSTRACT
Background: Hepatitis B virus (HBV) & Hepatitis C virus (HCV) are transfusion transmissible infections. Observation of the trend in seroprevalence is useful to plan preventive measures. Aims & Objective: To study trend of seroprevalence of HBV & HCV infections among blood donors with respect to type of the donor, age, sex and blood group of the donor. Material and Methods: A study was conducted from January 2005 to December 2009 at the blood bank of tertiary care Medical College Hospital, serving people of Central Karnataka. Blood units collected from eligible blood donors were subjected to ELISA for screening for hepatitis B surface antigen and IgG antibodies to Hepatitis C virus. Prevalence of HBV and HCV infections was noted using SPSS version 13 statistical package in relation to type of donor, age, sex and blood group of donor. Significance of the trend was determined by chi square test. Results: A total of 19,413 blood donors were screened, the seroprevalence of HBV & HCV infection was 2.12% & 0.1% respectively. HBV infection was more prevalent among replacement donors. Decrease in seroprevalence of HBV & HCV infections was noted from 2005 to 2009. Conclusion: To reduce the prevalence of post-transfusion hepatitis, stringent donor screening procedure and 100% voluntary blood donations may be effective. Routine screening for HBV & HCV in blood banks should be performed using more sensitive methods.