ABSTRACT
Background:Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. The morbidity pattern of underfives with this condition is yet to be described. Objective: To describe the morbidity pattern of underfives with MAM.Method: Across sectional study was conducted in two Primary Health Centres in Uruan Local Government Area of Akwa Ibom State. Caregivers'brought children aged 6- 59 months to the health facilities following community mobilization. Eligible children were recruited into the study after obtaining parental consent. Avalidated proforma was used to obtain the biodata and symptoms of common illnesses in the children. Ageneral physical examination, anthropometric measurements and systemic examination were performed. Results: Atotal of 162 children were recruited into the study. Their mean (±SD) age was 20.4 ± 13.0 months. Over 70% of them were 6 - 23 months of age. Their mean (±SD) length/height was 77.3 ± 29.6 cm, mean (±SD) weight was 8.3 ± 3.4 kg and mean (±SD) mid upper arm circumference was 12.4 ± 4.5 cm. The main symptoms noted in the children were; fever 99 (61.1%), cough 84 (51.9%), weight loss 81 (50.0%), diarrhoea 40 (24.7%) and vomiting 40 (24.7%) while pallor 77 (47.5%), lymphadenopathy 56 (34.6%), hair changes 49 (30.2%), skin changes 27 (16.6%) were the main signs in them.Conclusion: The main symptomatology of underfives with MAM were fever, cough and weight loss
Subject(s)
Severe Acute MalnutritionABSTRACT
Background : Agriculture Workers have a multitude of health problems, a fact which is often forgotten because of widespread misconception that occupational health is mainly concerned with industry and industrialized countries. The health problems of workers in agricultural field may be accidents (Snake and insect bites), toxic hazards (chemical exposure and insecticide poisoning), physical hazards (extreme conditions and solar radiation) and respiratory problems (farmer抯 lung and occupational asthma). Objectives : To study the morbidity pattern among the Farm house residents. Material and Methods : A cross sectional study was conducted among the farm house residents in rural areas of Vijayapura district. A Sample of 450 farm house residents were interviewed by pre-structured proferma containing information regarding Socio demographic profile, present and past six months morbidities. In each Taluka, the selection of households was done by considering villages as the Primary Sampling Unit (PSU). PSUs were selected with probability proportional to size sampling and 5 households in a selected PSU were selected by random sampling.All characteristics were summarized descriptively, Chi-square (?2) test was employed to determine the significance of differences between groups for categorical data. Results : The findings of the present study among Farm dwellers in the rural area of vijayapura district revealed that majority at the time of study were having Anaemia followed by Respiratory Infection and majority of Farm dwellers in past six months were having Dental carries as a morbidity followed by Respiratory infection. Conclusion : The present study concludes that overall majority of the Farm house residents presently suffering from Non-communicable Diseases (54%) followed by Communicable Diseases (46%).
ABSTRACT
1 Background: Geriatrics refers to people aged 60 years and above. In India, the absolute number of elderly people increased from 76 million in 2001 to 100 million in 2011(8.6% of total population) and 138 million in 2021 (10.1% of total population). Common morbid conditions in older age include hypertension, diabetes, hearing loss, cataracts and refractive errors, back and neck pain and osteoarthritis, chronic obstructive pulmonary disease, diabetes, dementia, and complex health states commonly called the “Geriatric Syndromes.” Aims and Objectives: The present study described the morbidity pattern, quality of life and their relationship among geriatric patients attending Medical College and Hospital, Kolkata. Materials and Methods: An observational, descriptive, cross-sectional study was conducted with a semi-structured data collection form having “OPQOL-Brief questionnaire” among 110 older subjects in a systematic manner who have attended the Geriatric Medicine OPD of Medical College, Kolkata, during the months of March–April, 2021. The data were entered into Microsoft Excel spreadsheet (version 10) and analyzed with the help of SPSS (version 25). Results: About 59.1% of study subjects were male. The most common morbidity was hypertension (47.27%), followed by diabetes mellitus (39.1%), bronchial asthma (27.3%), and heart diseases (19.1%). About 50.9% of the patients (49.23% of male and 53.33% of female) had a good quality of life. Conclusion: This study showed that these patients’ quality of life had significant relationship with their socioeconomic status and number of comorbidities present. It was advisable to adopt policies for affordable solutions for diagnosis and management of geriatric comorbidities overall.
ABSTRACT
Background: The aim of this study was to examine the correlates between health seeking behavior and health status among the Elderly group in Osun State, Nigeria.Material & Methods:A cross-sectional study was conducted in Osun State between July-October 2020. A multistage sampling method was used to select 433 people aged 60 years and older. The participants were interviewed face-to-face using a well-structured questionnaire. Both descriptive and inferential statistics was used to analyse data. Results:Findings from the study revealed that majority (77.8%) of the respondents had poor health status. Key findings showed that majority (72.4%) of respondents had good health seeking behaviour. Furthermore, age (p<0.05), marital status (p<0.05), educational status (p<0.05) and monthly income (p<0.05) were statistically associated with the health status of the elderly people.Conclusions:An adequate understanding of health seeking behaviour and its correlates with health status especially among the elderly people is needed to improve the health care in Nigeria. Although the elderly people have a good health seeking behaviour, it does not however translate to good health status. Therefore, strategies to improve the health status including improving their financial status should be developed with adequate health literacy. Elderly people should learn the importance of regular health examinations to promote health, prevent diseases, and slow the progress of chronic diseases.
ABSTRACT
Background: The objective of the study was to find out the personal hygiene status among boys residing in social welfare hostels by class and age and type of hostel.Methods: Cross sectional study, analytical study, social welfare hostels in Tirupati town of Andhra Pradesh. Participants was 524 boys. Statistical analysis are percentages and Chi-square test.Results: The prevalence of scabies was found to be significantly higher in those children with poor personal hygiene (35.7%) compared to average level (18.8%) and good (14.4%) of personal hygiene. The prevalence of other specific morbid conditions was found to be similar in all the three levels of personal hygiene and the differences were not statistically significant.Conclusions: The prevalence of scabies was found to be significantly higher in those children with poor personal hygiene compared to average level and good of personal hygiene. In view of higher proportion of children with poor level of personal hygiene of children in scheduled tribe hostel, there is a need to sensitize and give health education on personal hygiene related diseases and take necessary preventive steps and supervision by hostel staff especially in scheduled tribe hostel. Hand washing with soap can protect about one out of every three young children.
ABSTRACT
The role of hostels in the educational advancement of backward classes is long recognized. In closed homes like hostels, the morbid conditions especially infectious diseases like skin diseases and respiratory diseases tend to rapidly spread among others and become difficult to control. There is increased nutritional demand in this age group because of pubertal changes. It has been found that several school children especially from socially backward sections of the community suffer from nutritional health problems as well as other physical health problems. We wanted to evaluate the morbidity pattern among boys residing in social welfare hostels.METHODSThis is a cross sectional, analytical study to determine the morbidity pattern among boys residing in social welfare hostels. This present study was conducted from August 2013 to July 2014 among boys residing in three welfare hostels, one each for scheduled castes, scheduled tribes and backward classes in Tirupati town.RESULTSThe common prevalent morbid conditions found were skin disorders (46.4%), nutritional disorders (43.1%), eye diseases (29.0%), respiratory diseases (15.3%) gastrointestinal diseases (13.6%), ENT diseases (9.5%,), musculoskeletal conditions (1.0%), and other diseases (5.7%).CONCLUSIONSHealth education and increasing the nutritional supplements improve the health of children with regard to personal hygiene and common diseases. Provision of necessary materials like soaps, oils etc., under supervision of hostel staff will go a long way in controlling these infections.
ABSTRACT
Background: Domestic solid waste collectors play important role in maintain hygiene of a community, especially in developing countries. Yet not many efforts are done to identify their health needs. The main objective of this study is to identify the morbidity pattern and social problems of solid waste collectors in urban Maharashtra.Methods: It was a cross sectional study. Study population consisted of domestic solid waste collectors who are registered under municipal corporation. Sampling was purposive. All the domestic solid waste collectors who came for specially arranged health check-up were included in the sample. Social and demographic information along with clinical history was collected using a structured questionnaire. General physical exam, eye checkup, skin examination and lab investigations were done in a specially organized camp, after obtaining prior consent of the participants. Data was analyzed using SPSS 19 software.Results: More than 90% of 98 solid waste collectors, who participated in the study had frequent cough, fever and diarrhea. Over 85% had back or/and leg pain. More than half of the study population had dryness of skin and 47% of them complained of itching. 15 solid waste collectors were discriminated in marriages.Conclusions: High prevalence of common frequent symptoms such as fever, cough and diarrhea can be controlled by conducting regular health checkups for this community. The need is to reach them rather than waiting for them to come to health facility. Sensitization of community towards importance of work done by the solid waste collectors is also required.
ABSTRACT
Background: Children under 5 years of age constitute approximately 15% of the country’s total population. First 1000 days of life is the most crucial period, as this age is known for high growth rate and development. They constitute most vulnerable section of the society and suffer from highest morbidity. Good personal hygiene and sanitary condition of living now forms a part of primary health prevention strategy and it is found to be effective for reducing morbidity and mortality in children.Methods: It’s a community based cross sectional study among 150 children of less than five years of age for a period of 4 months from November 2018 to February 2019 in the urban field practice area of Basaveshwara Medical College and Hospital, Chitradurga.Results: In our present study we found respiratory tract infection is the predominant ailment followed by gastrointestinal clinical features accounting for 39% and 33% respectively. Though the factors like birth weight, immunisation of majority of population were fair but in later years of life found that weight for height was not achieved as per standard protocol among major of the study population.Conclusions: By health education for the caretaker regarding mother-crafting and satisfactory environmental condition can reduce the prevalence of morbidity.
ABSTRACT
Aims:This study was aimed at assessing disease morbidity pattern and health care seeking behaviour among the elderly in Calabar Municipality, Cross River State, Nigeria. Study Design:Descriptive cross-sectional study designPlace and Duration of Study:Calabar Municipal Local Government Area, Cross River State between Feburary 2015 to March 2015.Methodology:Multi-stage sampling technique was used to select 200 elderly persons who gave consent to participate in the study. A semi-structured questionnaire was used to collect data from the respondents. Data collected were collated and analysed using IBM SPSS version 20.0 and results were presented in tables. Chi-square was used to test for association between categorical variables Results:The result obtained showed that respondents within the age bracket of 65-69years 74(37.0%) constituted majority followed by those aged 70-74years 56(28.0%) and 75-79years 42(21.0%). More than half of the respondents 110(55%) were females while the remaining 90(45%) were males. This study revealed that malaria 50(23.1%), high blood pressure 43(19.9%) and joint pain/arthritis 31(14.4%) were the most identified health problems suffered by the elderly and the hospital/healthcare centre was where most elderly persons sought for treatment whenever they fall ill. Expenditure on health services received was largely out-of-pocket expenditure 86(43.0%). Other respondents revealed that their children 64(32.0%), relatives/in-laws 28(14.0%), spouse 16(8.0%) and friend(s) 6(3.0%) were responsible for their hospital bills. Most respondents 106(53.0%) who patronized the hospital/health center were satisfied with treatment received. Increasing age and gender were significantly associated with disease morbidity pattern among the elderly (P< .05). Conclusion:Improving geriatrics care through effective implementation of intervention programmes is pivotal to mitigating the rate of disease morbidity among the aged population
ABSTRACT
Aims: To assess the Nutritional status of urban and semi-urban pre-school children of Dharwad, at baseline and after institutional supplementation. Study Design: Nutritional status of the pre-school children was assessed based on anthropometry and clinical examination. Urban pre-school children were treated as control and semi-urban pre-school children were supplemented with institutional food for three months (experimental). Nutritional status were measured before and after institutional food supplementation. Place and Duration of Study: Department of Food Science and Nutrition, College of Community Science, University of Agricultural Science, Dharwad, Karnataka, India. The experiment was conducted between July 2017 and July 2018. Methodology: A sample size of 100 pre-school children (3-6 years) were selected, out of which, 50 children from urban and another 50 children from semi-urban school were randomly selected from Dharwad district. Nutritional status of the pre-school children was assessed based on anthropometry and clinical examination. Nutritional status were measured before and after institutional food supplementation, in both schools. Results: Results revealed that, at baseline nutritional status were higher in urban pre-school children compare to semi-urban pre-school children, but after supplementing with the institutional food, significant improvement in anthropometric measurements were observed in semi-urban group and they were on par with the urban children in terms of nutritional status. Conclusion: The weight for age is an indicator of current nutritional status, whereas height for age is an indicator of past nutritional status, so height improvement was observed in urban group and weight improvement was observed in semi-urban group. Finally concluded that food intervention can go long way in changing the current malnutrition scenario.
ABSTRACT
Background: With increasing life expectancy, number of old age people increased throughout the world, particularly more in the developing countries like India. Globally there are an estimated 605 million people aged 60 years and above. As the ageing population is increasing, the burden of their health problems is on a rise. To provide appropriate care for them there is a need to attain information about their morbidity pattern. Objectives: to study the morbidity pattern among the geriatric patients attending outpatient department of RHTC, Maner of IGIMS, Patna and to find out the difference in health problems between males and females, if any.Methods: This hospital based cross-sectional study was conducted during September 2017 to February 2018 among 98 elderly patients, aged 60 years or above, who attended first time at the Out Patient Department of rural health training center, Maner of IGIMS, Patna and who fulfilled inclusion criterion.Results: In this study majority had normal nutritional status. Amongst morbidity, prevalence of locomotors problems was highest (63.26%) followed by depression (42.85%), refractive error (20.4%), hearing loss (18.2%) and cataract (15.3). Locomotors problems were significantly higher in women (93.75%) as compared to the men (34%). However, the prevalence of depression, refractory error, hearing loss and cataract were not significantly associated with gender.Conclusions: There is a need to deliver comprehensive geriatric health care services for prevention and control of chronic diseases and address the dual burden of disease among the elderly to promote healthy ageing.
ABSTRACT
Background: Malnutrition and poor health among school children is the common cause of low school enrolment, high absenteeism, early dropout and poor classroom performance. This study was conducted to assess the various morbidities and nutritional status among school children. Methods: This descriptive study was conducted during year 2013 in a higher secondary school located in a coastal area of Puducherry. A total of 714 students were interviewed and examined. A pre-designed and pre-tested questionnaire was used to interview and examine all the participated students. Body weight and height were measured using standardized procedures. WHO criteria for classification of nutritional status was used. Visual acuity and colour vision was assessed using Snellen’s chart and Ishihara’s pseudo isochromatic chart respectively. Mean scores and proportions were calculated and chi-square test was applied. P value of <0.05 was considered as statistically significant. Results: Among 714 student, 369 (51.4%) were males and 345 (48.6%) were females. The mean age of children was 10.2 ± 3.1 years. Among all age groups and both sexes, the observed BMI was lower as compared to the reference values. The prevalence of underweight among children of 5-9 years was (30.7%) and (1.1%) were severely underweight. The prevalence of stunting was 10.4%, including 0.1% of severely stunted children. A total of 30.7% children were thin (low BMI for age). Pallor (39.5%), myopia (34.9%) and dental caries (14.7%) were the common morbidities observed among children. The pallor was observed more commonly among girls and this difference was statistically significant (p value <0.05). Conclusion: Under-nutrition is a prevalent condition among school children. Apart from various nutritional programmes, health education to parents, community and school teachers are quite important to address this problem.
ABSTRACT
Background: Children under-five are most vulnerable for malnutrition and infection. Morbidity pattern of this age group has several determinants like socio-economic status, basic education, occupation, socio-cultural practices, living environment etc. Objectives: To study the morbidity pattern in under-five children and to find out it’s association with various factors. Methods: This was a cross-sectional study conducted in paediatrics OPD of a tertiary care level hospital in rural area of Etawah District of Uttar Pradesh for three months. We included 379 children by random sampling design. Mothers of children were interviewed using a predesigned schedule. Chi-square test was used for statistical analysis. Results: Commonest morbidity was malnutrition (70.71%), followed by ARI (63.59%), anaemia (47.76%), diarrhea (20.58%), malaria (13.33%) and worm infestation (10.03%) while around 25 percent suffered from other illnesses. Most common symptom was fever (70.71%) and cough (62.8%). A statistically significant association was found in morbidity pattern of ARI, diarrhea, malaria, malnutrition and anaemia with various factors like education, socio-economic status, and occupation. Congenital anomalies were found in around 3 percent children. 3.69 percent children were admitted in wards from OPD. Conclusion: Common childhood illnesses were prevalent though children suffered from serious illnesses on very few occasions.
ABSTRACT
The purpose of the study was to assess the morbidity pattern and the medical care utilization behavior of urban residents in the poor area. The study population included 2,591 family members of 677 households in the poor area of Daemyong 8 Dong, Nam-Gu, Taegu and 2,686 family members of 688 households, near the poor area in the same Dong, were interviewed as a control group. On this study the household interview method was applied. Well-trained interviewers visited every household in the designated area and individually interviewed heads of households or housewives for general information, morbidity condition, and medical care utilization with a structured questionnaire. Individuals were interviewed from 1 to 30 December 1988. The major results were summarized as follow: The proportion of the people below 5 years of age was 4.2% of the total study population and 5.5% were above 65 years of age in the poor area. This was slightly higher than in the control area. The average monthly income of a household in the poor area was 403,000 won versus 529,000 won in the control area. Fifty-eight percent of the residents in the poor area and sixty-one percent in the control area were medical security beneficiaries, but the proportion of medical aid beneficiaries was 7.8% in the poor area and 4.6% in the control area. The 15-day period morbidity rate of acute illnesses was 57.1 per 1,000 in the poor area and 24.2 per 1,000 in the control area. Respiratory disease is the most common acute illness in both areas. The most frequently utilized medical facility was the pharmacy among the patients with acute illnesses in the poor area. Among them 58.1% visited pharmacy initially while 38.4% of the patients in the control area visited a clinic. Among persons with illnesses during the 15 days, 8.8% in the poor area and 4.6% in the control area did not seek any medical facility. Mean duration of utilization of medical facilities was 3.5 days in the poor area and 3.3 days in the control area. Initially of the medical facilities in Daemyong 8 Dong, The pharmacy in the poor area and the clinic in the control area were most commonly utilized. The most common reason for visiting the hospital was 'regular customers' in the poor area and 'geographical accessibility' in the control area. The one year period morbidity rate of chronic illness in the poor area was 83.0 per 1,000 population and 28.0 per 1,000 in the control area. Disease of nervous system was the most common chronic illness in the poor area while cardiovascular disease in male and gastrointestinal disease in female were most prevalent in the control area. The most frequently utilized medical facility was the pharmacy among the patients with chronic illnesses in the poor area. Among them 24.2% visited the pharmacy initially while 34.7% of the patients in the control area visited the out-patient department of the hospital within a 15-day period. Among the patients with chronic illnesses 34.9% in the poor area and 16.0% in the control area did not seek any medical facility. Mean duration of utilization of medical facilities was 9.2 days in the poor area and 9.9 days in the control area within a 15-day period. Initially of the medical facilities in Daemyong 8 Dong, the pharmacy in the poor area and the hospital in the control area were most commonly utilized. The most common reason for visiting the hospital, clinic, health center or pharmacy in the poor area was 'geographical accessibility' while the reason for visiting herb clinic was 'good result' and 'reputation' in both areas.
Subject(s)
Female , Humans , Male , Cardiovascular Diseases , Chronic Disease , Family Characteristics , Gastrointestinal Diseases , Head , Methods , Nervous System , Outpatients , PharmacyABSTRACT
The purpose of this study was to assess the morbidity pattern of urban residents in the poor area by health screening for the community diagnosis. The items of health screening were history taking and physical examination by medical doctor and hearing test, check blood pressure, test for hematocrit, liver function (sGOT, sGPT), urine sugar and protein, and chest X-ray. The examinee in health screening were 437 persons and they occupied 16.9% of total residents in the poor area. Male examinee were 129 persons (9.9% of total residents) and female examinee were 308 persons (23.9% of total residents). Age group of above sixty years old, 42.0% of total residents in the poor area were participated, but only 5.9% were participated in age group of 10 to 19 years old. Among the 437 examinee, 191 persons (43.7%) had one or more abnormal findings in health screening. In male 38.7% had abnormal findings, and somewhat lower than that of female (45.8%). Age group of above sixty years had most high rate of abnormal findings (69.8%), in contrast to age group of 10 to 19 years old (10.9%). Diseases of the digestive system was the most common and which occupies 23.7% of total abnormal findings. And diseases of the circulatory system occupied 19.7%. Low hematocrit (14.6% of total participants of 437 persons) occupies the most common abnormal findings for screening test (hematocrit, blood pressure, hearing test, sGOT/sGPT, urine protein and urine sugar, chest X-ray) and high blood pressure (10.1%) occupied second, third; hearing impairment (5.5%), fourth; abnormal liver function (4.1%), fifth; sugar in urine (2.3%), sixth; protein in urine (1.4%) and lastly abnormal chest X-ray (0.9%). The positive rate of abnormal findings in health screening was very high compared with morbidity rate by health interview. It is supposed that some portion of this high rate is by selection bias in examinee in health screening specially high participating rate in older age, and the other portion is due to the low socioeconomic status and bad environment of the residents of the poor area. These findings will be good information for the research and development of health care system in the urban poor area.