Health Need Assessment Of Geriatric Patients In Rural Wardha, Central India: A Mix Method Study

Background: The phenomenon of population ageing is inevitable. United Nations has defined Population 'ageing or graying nation' where 7% of total population is over 60 years of age. India already has crossed the bar with 8% population above 60 years of age as per census 2011. To address ever growing needs of geriatric population, the first step is to identify and assess those needs. Present study is conducted with objective to assess the health, psychosocial and financial needs of geriatric population in rural Wardha. Methods: This is a community based cross sectional study using mix methods. The Present mix method study had two components - a. Quantitative component: comprising of details on socio-demography, psychosocial needs and financial dependency measured in all 60 participants using predesigned questionnaire and b. Qualitative component: comprises of 10 In Depth Interviews (2 IDI per ward) of elderly participants in community and 5 exit interviews of elderly participants those availed services at PHC. Content analysis of qualitative data was done manually while quantitative data is reported using frequency and percentages. Results: PHC was the first point of contact for 65% of elderly, but most of them were not satisfied with the services and the reason for dissatisfaction was long queue for OPD registration, long waiting period, no sitting arrangement while waiting, frequent non- availability of medicine. Irregular availability of medicine was reported as reason for skipping medicines and out of pocket expenditure. Financial dependency on children limits elderly in healthcare decision making. The recreational activities were limited to taking care of their grand-children, watching TV, and engaging in household activities. Conclusions: Elderly have very basic needs that can be addressed in present setting like a separate queue for registration, adequate sitting arrangement in waiting area, regular availability of medicines. Complete Healthcare insurance of elderly may be a solution to prevent out of pocket expenses.

Cvd-related Knowledge, Perception, Belief And Prevention Behaviors Of Korean Blue-collar Workers: Needs Assessment For Developing The Intervention Program through Qualitative Approach / 한국직업건강간호학회지

PURPOSE: This study intended to grasp real context of Cardiovascular disease (CVD)-related factors of Korean blue-collar workers, especially CVD-related knowledge, perception, beliefs, benefits and barriers of behaviors according to the health belief model. METHODS: We interviewed twenty two workers working in two small-sized companies and performed two series of focus group interviews. Data were analyzed by deductive content analysis approach based on Elo & Kyngäs. RESULTS: Excepting participants who have CVD risk factors, most participants had lower level of CVD risk perception. The level of CVD knowledge was low but there was difference by gender. CVD-related beliefs were ‘fatal disease’, ‘caused by lifestyle’ and ‘difficult to prevent by themselves’. The risk reduction behaviors were motivated by current or family history of hypertension. But there were barriers to interfere practice of preventive behaviors such as poor quality of food provided by cafeteria in the workplace, frequent overtime, victim mentality as one of vulnerable social group, housework and financial burden, lack of facilities for rest and physical activity in the workplace. CONCLUSION: To develop intervention for reducing CVD risks in Korean blue-collar workers, we need to focus on improving CVD knowledge and perception and modifying work-related environments such as low quality of food and lack of facilities for rest and physical activity in the workplace.

Curriculum for training module on Cone Beam Computed Tomography (CBCT) for Dental Specialists: A Need Assessment Study.

Abstracts: Background and Objectives: A needs assessment study is recommended as the foundation of any curriculum development process. In India, CBCT has lately gained popularity as preferred imaging modality. However, CBCT is included neither in the Under graduate nor the Post graduate dental curriculum. There is also a lack of any standardized training modules on CBCT. Hence, the overall goal of this project was to conduct the educational need assessment amongst the dental practitioners, in order to design a curriculum for training module on Cone Beam computed Tomography (CBCT). Methodology: Need assessment was done by recruiting the structured questionnaire method which included item generation by literature review and a consensus development survey amongst 50 dental specialists. This was complemented with the opinion of the experts in the field. Results & Conclusion: We developed a consensus on 14 items for inclusion in the curriculum for training the dental specialists in CBCT. The study results indicate a definite gap in knowledge of CBCT applications amongst the dental specialists. The major concern of the dental specialists is the lack of awareness regarding the appropriate and optimum use of this relatively new imaging technology. A strong perceived need of training in this field was evident amongst the dental specialists, and the same in reflected in the experts’ opinion.

Assessing the Quality of life and Needs of HIV-AIDS Patients in Manipur A Preliminary Study.

This study aims to as.es. the quality of life (QoL) as perceived by HIV/AIDS patients and the needs of such people in their local context in Manipur. A cross sectional study was carried out in two selected districts of Manipur namely, Imphal west and Chandel. A total of 20 People Living with HIV/AIDS (PLHA) respondents were interviewed using WHOQoL-HIV instrument and a semi-structured interview. The overall quality of life mean score was 3.07 from the range of score between 0-5. Similarly, on a scale of 4-20, the scores in the six domains of the quality of life in descending orders were spirituality, religion, personal beliefs or SRPB (12.73); psychological (12.72); physical (12.41); level of independence (12.28); social relationship (11.83); and environment (11.54). Comparison of QoL showed female faring better with 3.12 mean score than their male counterparts (mean score: 2.83). The study also identified some of the needs of HIVIAIDS infected people in relation to clinical, financial, educational, psychological, socio-cultural, household needs, etc.

The Need-Assessment of Employee Assistance Programs among Korean Manufacturing Industry Workers in Gyeongsang-do / 대한산업의학회지

OBJECTIVE: Employee Assistance Programs have recently been introduced to Korea as a potential solution to relieve workers's stress and improve their mental health. This study was conducted to determine the needs of EAPs among manufacturing industry workers in Gyeongsang-do Korea. METHODS: Responses to structured survey questionnaires were received from 556 workers at 7 mediumsized manufacturing factories. RESULTS: Among the 556 workers who responded to the questionnaire 'Prevention & management of work stress', 'Mental health & management of daily life stress', 'Physical exercise health promotion program'. 'Elderly care', 'Outplacement', 'Financial support for leisure activities', and 'Ensuring leisure time'were raised as the main issues and services that they expected to be provided by the company. CONCLUSION: EAPs have recently been introduced in Korean companies. The study results will be helpful to clarify the needs of individual Korean workers and to determine what EAP services should be provided.

Working with Vulnerable Families: A Nurse Home Visiting Perspective / 간호학회지

PURPOSE: This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs. METHOD: This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data. RESULT: The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility. CONCLUSION: Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.

The Need Assessment of Management & Business Programs in Medical College / 한국의학교육

PURPOSE: In this rapid changing society and medical practice, the professionalism in the management of a hospital is being required. However, most physicians do not have the opportunity for systematic training for management and business. The difficulties perceived by private practitioners in their real practices are surveyed in order to assess the need for education course on Management & Business in medical school. METHODS: From February 3rd, 2003 to February 20th, 2003, 2, 381 private practitioners participated in the nation-wide internet questionnaire, of which the response rate was 7.1% (168 persons). The contents of the survey include 9 criteria, which consist of problems of hospital management, the present method of management, the demand for Management & Business course, and the need for commencement of education course. RESULTS: More than 50% of the physicians who answered this questionnaire expressed difficulties in some criteria such as accounting, taxation business, and management of hospital staffs. Many physicians (66 persons; 39.3%) suggested lack of knowledge of management & business or such skills as the reason for it. Most of them dealt with these difficulties by discussing these matters with their colleagues (96 persons; 57.1%) or by themselves according to their own experiences (44 persons; 26.2%). Eighty two percent of respondents approved of establishing the new subject, Management & Business course and its education. In this survey, patient management, marketing, and tax-related fields were chosen as the most needed fields for education. CONCLUSION: It was revealed that most private practitioners realized the importance of the ability in Management & Business and agreed with the need for experiencing systematic education during medical education. Therefore, it is necessary to perform the in - depth research about establishing Management & Business course in medical school.

Socio-demographic profile & mental health problems of foreign detainees at the Bureau of Immigration Jail Taguig, Manila, November 2000

OBJECTIVE: Since foreign detainees suffer multiple stresses, this study was conducted to determine the socio-demographic profile of those at the Bureau of Immigration (BID) Jail in Bicutan, Taguig, and Metro Manila as well as identify some of their mental health problems. METHODOLOGY: Foreign detainees at the BID Jail were interviewed. Their socio-demographic profile, length of stay in the Philippines and in jail, reason for travel, problems encountered, crimes committed and health problems encountered while in the country were tabulated. The Self- Reporting Questionnaire and the Anticipatory Cognition Questionnaire were used for identifying psychiatric problems. RESULTS: Of the 42 subjects the mean age was 37 years old. The most predominant nationality among the detainees was that of Indians (26.2%). Among those who were married, 25 (83.3%) were married to Filipino citizens. The highest educational attainment of the subjects was college. The predominant religions were Islam and Christianity. Twenty-six (61.9%) have stayed in the Philippines for four years or more and 25 (59.5%) at the BID jail for less than a year. Among the reasons for travel, the most common reason given by 45.2 percent of the population was for business purposes. Problems encountered while in the Philippines pertained mostly to legal matters. Most of them were detained because of overstaying, with some having a concomitant criminal case. Half of the subjects denied having any medical problems other than dermatological illnesses (21.4%). More than half (52.4%) of the foreign detainees were SRQ positive while 50 percent showed depressive symptoms based on the ACQ, both suggesting the high prevalence of anxiety and depression among the detainees interviewed. Psychosis was also noted in 28.6 percent of the subjects included in the study. CONCLUSION: Considering the high prevalence rates of depression, anxiety and psychosis among the subjects interviewed at the BID jail, it would be an act of medical negligence as well as a human rights violation not to address these while they are still detained at the BID jail.

Need Assessment for Stage of Behavior Change in Workplace Health Promotion Strategy / 대한산업의학회지

OBJECTIVES: In order to evaluate the stage of behavior change for health promotion strategy in workplace METHODS: Questionnaire survey was carried out for 309 workers who employed in H Electronics company in Kyongin area from September to October 1998. RESULTS: According to need assessment of four step such as precontemplation stage, contemplation stage, action stage, maintenance stage which were to change of behavior for health promotion, the percent for quitting smoking were observed 48.8%, 43.1%, 8.1%. 0 %, and for the restriction of drinking were 29.8%, 10.6%, 9.3%, 5.3%; for fitness 11.1%, 31.0%, 37.3%, 20.6% in male 26.6%, 27.8%, 26.6%, 19.0% in female, for regular diet 26.1%, 19.8%, 38.7%, 15.3% in male, 27.8%, 22.2%, 40.0%, 10.0 % in female and for stress management 5.8%, 10.6%, 8.7%, 75.0% in male, 13.6%. 22.7%, 19.7%, 44.0% in female. In heavy smoker (p=0.017) and heavy drinker, (p=0.021) the percent of precontemplation stage was significantly higher than in lower drinker and light smoker. CONCLUSIONS: This study suggested that company support for health promotion in workplace was weak and workers of high risk group for smoking and drinking were in precontemplation stage. So before conducting the health promotion program, health risk appraisal and need assessment for stage of behavior change should be taken for the efficient heath promotion strategy.