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1.
Article | IMSEAR | ID: sea-226507

ABSTRACT

Ayurveda and medicinal plants of folklore are the primary sources of health care in rural areas of India. Medicinal plants are the basis of Ayurveda drugs. Kothi village at an elevation of around 1,100m from the sea level is a hamlet in Kangra District of Himachal Pradesh and it has a good diversity of medicinal plants. The medicinal plants' diversity in this village is not studied to date. This cross-sectional survey study (observational study of descriptive and analytical type) was conducted to discover the diversity of medicinal plants in the Kothi village. The medicinal plant diversity at RGGPGAC&H territory was the sample chosen for this study. The total diversity of medicinal plants in the Kothi village was considered as the population of the study. Questionnaire based interviews and discussions with local villagers and sellers were used as a method for medicinal plants sample collection from the sample area. The sample medicinal plants were then verified by the faculty of PGDD at RGGPGAC&H. After verification, samples were cross-verified with authoritative publications by the government of Himachal Pradesh and India. A total of 151 different indigenous cum migrated medicinal plant diversity belonging to 69 families is found occurring in the Kothi village.

2.
Chinese Journal of Hospital Administration ; (12): 230-233, 2023.
Article in Chinese | WPRIM | ID: wpr-996066

ABSTRACT

As the " bottom" of the rural three-level medical and health network, the village clinic is the closest medical and health institution to the villagers. Through field research on H District of Beijing, the author found that the government implemented the management responsibility of village clinics by issuing health policies to carry out the standardization construction, strengthened the practice management of village doctors, and stabilized the income source of rural doctors, so that village doctors could better assume the functions of village level public health and prevention and treatment of common diseases. However, the unclear ownership relationship of village clinics and the labor relationship of village doctors, the differences in hardware configuration and the convergence of post responsibilities under different management systems affected the government′s implementation of the management responsibility of village clinics. Therefore, it could be necessary to pay attention to the change of policy environment, timely reform and mechanism integration of village clinics, and establish a career development mechanism connecting counties and villages. The bottleneck in the construction of village clinics will be broken, and the goal of " quality medical and health services nearby" for rural residents will be realized.

3.
Indian J Med Ethics ; 2022 Dec; 7(4): 268-272
Article | IMSEAR | ID: sea-222681

ABSTRACT

Community health workers are the link between the community and the health system, delivering primary care services at the frontline. Every profession has its own ethics and professional values, and there is a need to formulate the ethics of community health work which should be informed by their rich experiential wisdom. In one such effort, we interviewed a senior community health worker in the Tamil Nadu health system and present it here as a virtue ethics case study. Several situations of ethical conflict arising in her work, and her process for resolving these conflicts were discussed during the interview. The worker discussed some ethical principles: doing good, not doing any harm, maintaining justice, being honest, providing respectful care, maintaining self-respect, being accessible, earning the community's trust, and building solidarity. This interview confirms the assumption that ethics and professionalism are inherent in this community health worker, and emphasises the need for systematic research to document the experiences of such frontline workers, and to frame relevant standards of ethics and professionalism in the local context.

4.
Article | IMSEAR | ID: sea-219363

ABSTRACT

This study focused on the documentation of wild macrofungi species used by village communities living around Mpanga Forest in Mpigi District, Central Uganda. In order to determine the variability of knowledge and the modes of use of macrofungi by the local communities, a total of 100 people, distributed in 4 villages (Kalagala, Nakigudde, Mpambire, and Lwanga) including 25 people in each, were interviewed following a semi-structured survey. The information focused on vernacular names, different species of macrofungi used, different categories of uses (food, medicinal, commercial, mythical, and traditional beliefs), Seasonality, habitat, preservation, and preparation methods. The diversity of macrofungi was assessed by combining visits in Mpanga forest and ethnomycological surveys. Ethnomycological indices such as Total Use Value (TUV), Diversity Index (DI), Pielou Regularity Index (EI), and Sorensen's K test were calculated to analyze the use differences between the 4 village communities. To determine the influence of age, gender and literacy level on the mycological knowledge held by village communities, one-way ANOVA and t-tests were used. The field collections associated with the ethnomycological surveys made it possible to identify a total of 35 species useful for the local communities among which, 29 are edible, 14 are medicinal, 5 are used for income and 4 are used for mythical and traditional beliefs. Due to their higher total use value (TUV>1), species such as Leucoagaricus rubrotinctus (Ggudu), Termitomyces sp.1 (Bubbala) and Termitomyces sp.2 (Nakyebowa) are the most exploited by local communities. The study revealed that ethnomycological knowledge is held by a minority of respondents (IE<0.5) within each village community, a consistency homogeneity of this knowledge within this minority (DI<DImax/2), but high variability in the use of macrofungi between village communities as indicated by TUV values ??and Sorensen's K test. The study also shown that the distribution of mycological knowledge of local communities was significantly (P < 0.05) influenced by gender, age and level of education. The results of this study provided information that could, in the future, be used in the domestication of wild macrofungi species and in mycomedecine to contribute to food security and improve public health care.

5.
Article | IMSEAR | ID: sea-220839

ABSTRACT

Introduction: Self-medication can lead to problems such as adverse effects and antibiotic resistance. This study was conducted to estimate the proportion of self-medication practice, to elicit the reasons for practicing self-medication, to find the factors associated with self-medication practice and to assess the health seeking behaviour among a rural community of West Bengal. Method: A study with mixed-methods approach was conducted among 212 households from four selected villages in a block of West Bengal. Focussed Group Discussions were held with respondents who were practising self-medication. Data were analysed using SPSS 25.0 and Atlas ti 7.0. Multivariable logistic regression was performed to find the factors associated with self-medication practice. Results: The proportion of self-medication practice was found to be 41%. Allopathy was most commonly preferred system of Medicine (78.8%). Statistically significant factors associated with self-medication practice were education upto Middle school (aOR 3.59) and Secondary level (aOR 10.71), Class III socio-economic status (aOR 5.03) and presence of acute illness (aOR 28.92). Conclusion: Proportion of self-medication practice among rural population was high. This needs to be addressed and health education should be provided to them.

6.
Infectio ; 26(1): 11-18, ene.-mar. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1350842

ABSTRACT

Abstract Potable water supply and sanitization in rural areas in developing countries are still inadequate. The main risk associated with unsafe drinking water is the infection with pathogenic microorganisms. Objective: In this study, we investigate the bacterial diversity and the potentially pathogenic bacteria in water samples from diffe rent points of distribution in three rural villages from the Andean region of Colombia. Methods: Illumina libraries for water samples were prepared and sequenced using 300 bp paired-end MiSeq protocol, the bioinformatic analyses were performed with Mothur pipeline and the phyloseq package in Rstudio. Results: The mi crobial community composition showed statistically significant differences according to the village and the sample origin. Alpha, Beta, and Gammaproteobacteria were the dominant class detected in all water samples. The most relevant pathogenic genera detected in the surface were Legionella, Mycobacterium, Yersinia, Burkholderia, and Rickettsia. In the tap water samples, potential pathogens like Streptococcus, Staphylococcus, Corynebacterium, Nocardia, and Escherichia/Shige lla were detected.


Resumen El suministro y potabilización del agua de consumo humano en las zonas rurales de los países en vías de desarrollo sigue siendo limitado. El principal riesgo asociado con el uso de agua no potable es la infección con microorganismos patógenos. Objetivo: En este estudio se investigó la diversidad bacteriana y la presencia de bacterias potencialmente patógenas en muestras de agua de diferentes puntos de distribución en tres asentamientos rurales de la región andina de Colombia. Métodos: Se prepararon y secuenciaron bibliotecas de amplicones (rDNA 16S) para muestras de agua utilizando la plataforma Illumina MiSeq con lecturas pareadas de 300 bases. Los análisis bioinformáticos se realizaron con el programa Mothur y el paquete estadístico Phyloseq en Rstudio. Resultados: La composición de la comunidad microbiana mostró diferencias estadísticamente significativas según el sitio y el origen de la muestra. Alfa, Beta y Gammaproteobac terias fueron las clase dominantes detectadas en todas las muestras de agua. Los géneros patógenos más relevantes detectados fueron Legionella, Mycobacterium, Yersinia, Burkholderia y Rickettsia. En las muestras de agua del grifo se detectaron patógenos potenciales como Streptococcus, Staphylococcus, Corynebacterium, Nocardia y Escherichia /Shigella.

7.
Afr. j. AIDS res. (Online) ; 21(2): 1-6, 28 Jul 2022.
Article in English | AIM | ID: biblio-1391077

ABSTRACT

Initial and subsequent waves of COVID-19 in Uganda disrupted the delivery of HIV care. In rural areas, village health teams and organisations on the ground had to develop strategies to ensure that people living with HIV could continue their treatment. It was necessary to take evolving circumstances into account, including dealing with movement restrictions, constrained access to food and stigma due to anonymity being lost as a result of a shift from health facility-based services to community-level support. Uganda has a long history of community-driven response to HIV, although health systems and response programming have become more centralised through government and donors to address political commitments to HIV treatment and other targets. The delivery system for antiretroviral therapy was vulnerable to the impacts of COVID-19 restrictions and related circumstances. To understand the continuum of challenges, and to inform ongoing and future support of treatment for people living with HIV, interviews were conducted with HIV organisation implementers, health workers, village health team members and people living with HIV. It was found that stigma was a central challenge, which led to nuanced adaptations for delivering antiretroviral treatment. There is a need to strengthen support to households of people living with HIV through improving community capacity to manage crises through improving household food gardens and savings, as well as capacity to organise and interact with support systems such as the village health teams. In communities, there is a need to evoke dialogue on stigma and to support community leadership on pressing issues that affect communities as a whole and their vulnerable groups. There are opportunities to reawaken the grassroots civic response systems that were evident in Uganda's early response to HIV yet were lacking in the COVID-19 context.


Subject(s)
Patient Care Team , Leukemia, Lymphocytic, Chronic, B-Cell , HIV , COVID-19 , Community Health Workers , Community Participation
8.
South African Family Practice ; 64(1)21 September 2022. Tables
Article in English | AIM | ID: biblio-1396797

ABSTRACT

Village health workers (VHWs) play an essential role because they extend the capacity of primary healthcare, particularly for developing countries. In Lesotho, VHWs are part of the primary healthcare connecting the community with clinics in their respective villages. They contribute to the prevention of the spread of tuberculosis (TB) within their catchment areas by encouraging communities to partake in TB screening. This study aimed at identifying factors associated with the utilisation of VHWs' service to undertake TB screenings in Lesotho. Methods: This study emanates from the main study that used a cross-sectional descriptive design. A total of 19 health service areas (HSAs) comprised 17 catchment areas and two clinics, each randomly selected from the District Health Management Team (DHMT) and the Lesotho Flying Doctors Service (LFDS), respectively. A total of 2928 individual household members aged 15 and above were included in the study. Data analysis included descriptive and inferential statistics. Results: There were more female than male respondents, with a majority (77%) below 65 years of age. Tuberculosis knowledge of respondents was mostly on the TB symptoms and curability of TB, but they were less knowledgeable about the causes of TB. The use of VHWs' services for TB screening was very low (23.3%). Conclusion: The study revealed that while respondents were to some extent knowledgeable about TB, their utilisation of VHWs' services for TB screening varied with education level, having worked in South Africa and the household size at α = 0.01.


Subject(s)
Tuberculosis , Health Knowledge, Attitudes, Practice , Community Health Workers , Diagnostic Screening Programs , Primary Health Care
9.
Chinese Journal of Hospital Administration ; (12): 139-142, 2022.
Article in Chinese | WPRIM | ID: wpr-934579

ABSTRACT

Objective:To evaluate the barrier-free level of village clinics of a city in the aging era, for references in improving the barrier-free medical environment for the elderlies.Methods:The village dectors of 156 village clinics in 12 counties of a city were selected as the objects of a questionnaire survey from Dec.2020 to Jan.2021, with 6 evaluation indexes established, each set with 1-10 points. This questionnaires was used to survey the barrier-free construction levels of village clinics. The data were statistically analyzed by rank sum ratio and quadrant graph model.Results:The barrier-free buildings of such clinics scored 32.86 points in average. Among the six indexes, the barrier-free access and doors(7.21 points) scored the highest, and the barrier-free parking space(4.71points) and toilets(3.28 points) scored the lowest. All the counties of the city fell into four categories, including 2 counties with high degree of aging-high level of accessibility, 4 counties with low degree of aging-high level of accessibility, 4 counties with low degree of aging-low level of accessibility, and 2 counties with high degree of aging-low level of accessibility, according to the quadrant graph model built based on the aging degrees and the barrier-free levels of village clinics.Conclusions:The barrier-free level of the village clinics in a city needs to be further improved, and the barrier-free transformation of parking space and toilets should also be strengthened in the future. The government should take different measures in view of conditions of each county to improve the accessibility of village clinics and facilitate the health care-seeking of elderlies.

10.
Sichuan Mental Health ; (6): 267-271, 2021.
Article in Chinese | WPRIM | ID: wpr-987530

ABSTRACT

ObjectiveTo analyze the relationship between mental health status and coping styles among village poverty alleviation cadres in Leshan City, and to provide references for the improvement of mental health and coping styles of them. MethodsA cluster random sampling method was used to select 6 of the 11 districts and counties in Leshan City, and all the village poverty alleviation cadres in the selected areas were evaluated through the psychological cloud CT system. A total of 700 cadres participated in the questionnaire evaluation, and were assessed using Symptom Checklist 90 (SCL-90) and Coping Style Questionnaire (CSQ). Results①A total of 207 (35.9%) village poverty alleviation cadres factor scored above 2, and 92 (15.9%) cadres scored above 200. ②There was a statistically significant difference in SCL-90 obsessive-compulsive symptom factor score and other factor score between different poverty alleviation time groups (P<0.05 or 0.01), and the factor score of SCL-90 obsessive-compulsive symptom showed significant difference among village poverty-alleviation cadres of different genders (P<0.05). ③The scores of problem-solving factor in CSQ showed significant differences among village poverty alleviation cadres of different genders and different ages (P<0.01). ④Correlation analysis showed that the scores of each dimension and total score of SCL-90 of village poverty alleviation cadres in Leshan City were positively correlated with the score of self-blame factor in CSQ (r=0.423~0.521, P<0.01). ConclusionThe village poverty alleviation cadres of female and with a working length of less than 90 days or more than 360 days are at high risk of obsessive-compulsive symptoms, while the cadres of male and aged over 41 years adopt mature coping styles. Furthermore, the immature coping style of cadres will lead to serious mental health problems.

11.
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine ; : 93-103, 2021.
Article in Japanese | WPRIM | ID: wpr-913224

ABSTRACT

  The Ministry of the Environment’s the Onsen Stay policy calls for the creation of a plan to increase the demand for long-term stays in spa health resorts. A report on the development of such plans, focusing on spa health resorts, has been published. According to the report, it was suggested that five external environments around the spa resort should be utilized in combination with each other, namely: making the most of the natural environment, making the most of the historical and cultural environment, making the most of the artificial environment and facilities, making the most of different environments by moving around, and making the most of the nighttime hours. In this report, I will try to verify whether these five types of programs are appropriate or not by using the program for a stay in the national park resort village. In addition, I will evaluate whether the proposed program will enhance the demand for a stay in the national park resort village, and suggest improvements.  The 11 national park resort villages in this report are Retreat Azumino Hotel, Norikura Kogen, Minami-Izu, Fuji, Noto-Senrihama, Echizen-Mikuni, Omihachiman, Minami-Awaji, Takeno Kaigan, Nanki-Katsuura, and Hiruzen Kogen.  I confirmed the validity of the five types, and the necessity to create a program for a stay in these villages by making the best use of the five external environments of the spa. In addition, it was shown that the importance of the program was not so much the diversity of the external environment of the spa along the walking course, but rather the nearness to the place of origin and destination and the sustainability of the program as well as the time to complete it.

12.
Chinese Journal of Hospital Administration ; (12): 718-720, 2021.
Article in Chinese | WPRIM | ID: wpr-912834

ABSTRACT

In the process of preventing and controlling the COVID-19, China′s system of community-level governance has achieved remarkable results. The authors focused on the public health committee of Beijing village(neighborhood) committee, using a semi-structured interview survey and literature search to collect relevant information and conducted a SWOT analysis of the public health committee. The strengths of the public health committee and the priorities and difficulties of its development were explored. The analysis results showed that the main strengths and opportunities of the public health committees were the promotion of its development, while the main problems and challenges were the lack of appropriate operational mechanisms, inadequate staffing, and the lack of retention of staff due to an inadequate remuneration system. In order to reduce the fragmentation of community public health governance, it is necessary not only to strengthen the centralized and unified leadership of the Communist Party of China, but also to promote positive interaction between social governance and residents′ self-governance, and to form a good pattern of joint construction, governance and sharing, as well as to improve the professionalism of public health committee staff and improve the salary allocation system, so as to ensure that the committee can play its role as a " bridge and link" .

13.
Chinese Journal of Hospital Administration ; (12): 1013-1017, 2021.
Article in Chinese | WPRIM | ID: wpr-934550

ABSTRACT

Objective:To analyze the physical geography and social and economic geography of Huairou District, Beijing, from the perspective of health geography and based on the science of health policy, and study the implementation effects and existing problems of village-level health resource allocation policy based on household registration system and population number, then put forward relevant countermeasures.Methods:From December 2020 to May 2021, 14 rural townships in Huairou district of Beijing were investigated on the basis of literature review, on the basis of information saturation, through typical case analysis, semi-structured interview and other methods. According to the distribution of physical geography and social economic geography, 15 administrative villages of 3 townships were selected to carry out field observation and in-depth interviews with key insiders on the basic information of village clinics and rural doctors, basic medical and health services, management system and operation mechanism.Results:The characteristics of geographical environment, population change and population density of village-level health institutions in Huairou district made the current situation of village-level health resources allocation highlight the current situation of insufficient policy coordination and supervision, and showed the reality of unbalanced distribution of village-level health institutions. There was a big gap between the geographical distribution of villager health institutions and the allocation of health human resources and the health needs of villagers, and the current situation was worrying. The lack of analysis of health geographical factors in the policy formulation and implementation was an important factor.Conclusions:To realize village-level health allocation, it is necessary to fully consider health geographic factors, break institutional boundaries through policy coordination and differentiation, and gradually optimize village-level health resource allocation starting from optimizing the layout of village-level health institutions.

14.
Shanghai Journal of Preventive Medicine ; (12): 692-696, 2021.
Article in Chinese | WPRIM | ID: wpr-886642

ABSTRACT

Objective:To investigate a foodborne brucellosis outbreak in a county in Guangdong Province in 2015, which may provide suggestions for the prevention and control of similar incidents. Methods:Case search was carried out by visiting cases, accessing the hospital medical record system, and collecting the registration information of rural health stations, and the results were described and analyzed. Results:A total of 169 cases were found, with an attack rate of 2.0‰ (169/85 000). The onset time of the cases was from January 19 to June 2, 2015, showing a continuous and homogenous outbreak pattern. The clinical manifestations of the cases were fever (72%), fatigue (40%), hyperhidrosis (26%), testicular enlargement (5.3%), headache (2.4%), and hepatomegaly (1.2%). In addition, 54 cases of latent infection were found. A total of 13 strains of brucella ovis type 3 were cultured from the patients’ serum samples. After all sheep in the farm were sampled, 16 samples of serum test tube agglutination test were positive, with a positive rate of 37% (16/44); after analysis, drinking fresh goat milk was a risk factor for brucellosis (OR=36.25, 95%CI: 4.68-280.73), and there was a dose-response relationship between infection and milk drinking (χ2=27.00, P<0.05). Conclusion:The brucellosis outbreak was caused by patients who drank unboiled goat milk contaminated with Brucella ovine type 3. People are recommended to drink qualified and sterilized goat milk. Relevant government departments should strengthen the monitoring of goat selling and goat milk production.

15.
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine ; : 2339-2021.
Article in Japanese | WPRIM | ID: wpr-873916

ABSTRACT

  The Ministry of the Environment’s the Onsen Stay policy calls for the creation of a plan to increase the demand for long-term stays in spa health resorts. A report on the development of such plans, focusing on spa health resorts, has been published. According to the report, it was suggested that five external environments around the spa resort should be utilized in combination with each other, namely: making the most of the natural environment, making the most of the historical and cultural environment, making the most of the artificial environment and facilities, making the most of different environments by moving around, and making the most of the nighttime hours. In this report, I will try to verify whether these five types of programs are appropriate or not by using the program for a stay in the national park resort village. In addition, I will evaluate whether the proposed program will enhance the demand for a stay in the national park resort village, and suggest improvements.  The 11 national park resort villages in this report are Retreat Azumino Hotel, Norikura Kogen, Minami-Izu, Fuji, Noto-Senrihama, Echizen-Mikuni, Omihachiman, Minami-Awaji, Takeno Kaigan, Nanki-Katsuura, and Hiruzen Kogen.  I confirmed the validity of the five types, and the necessity to create a program for a stay in these villages by making the best use of the five external environments of the spa. In addition, it was shown that the importance of the program was not so much the diversity of the external environment of the spa along the walking course, but rather the nearness to the place of origin and destination and the sustainability of the program as well as the time to complete it.

16.
Chinese Journal of Hospital Administration ; (12): 32-36, 2020.
Article in Chinese | WPRIM | ID: wpr-798670

ABSTRACT

Objective@#To explore the formation mechanism of the weakening of village clinic′s medical service capacity in the context of new medical reform.@*Methods@#Purposive sampling method was used to enroll 38 rural doctors and managers of rural health centers and health offices in the interview from October 2015 to November 2015. And grounded theory was adopted to analyze reasons and their mechanism of the weakening of village clinic′ s medical service capacity.@*Results@#29 first-grade categories and 7 second-grade categories were worked out in text encoding. With the implementation of the ongoing healthcare reform, support from financial, policy and technology increased significantly, but due to the synthetic action of unexpected negative effects of the reform, superposition and accumulation of disturbance and ineffective support, village clinic′ s medical service capacity began to weaken.@*Conclusions@#The weakened village clinic′ s medical service capacity is a result of the synthetic action of 3 reasons. The persistence of this status will intensify the vulnerability of rural health service system and be bad for the implementation of hierarchical medical policy and the strategy of rural vitalization. Measures should be taken to optimization the essential medicine system, establish a comprehensive assessment mechanism for basic medical service and basic public health service of village clinic, strength the strategic purchasing of medical insurance, improve the financial compensation mechanism, and complete training system of village doctors, aims to promoting sustainable development of village clinic.

17.
Chinese Journal of Hospital Administration ; (12): 27-31, 2020.
Article in Chinese | WPRIM | ID: wpr-798669

ABSTRACT

Objective@#To explore the current status of village doctors′ vulnerability in Shandong province in the context of ongoing healthcare reform.@*Methods@#A cross-section study was conducted from October 2015 to November 2015 based on a self-designed questionnaire for village doctors. The questionnaire included 6 parts: fundamental state, disturbance from surroundings, disturbance from job, emotional support, instrumental support and self-ability of village doctors. Mean and standard deviation were adopted to describe the level of disturbance and support. Quadrant analysis was adopted to analyze village doctors′ vulnerability. The set pair analysis was adopted to calculate the vulnerability index and sample cluster analysis was adopted to classify village doctors based on the vulnerability index.@*Results@#The total disturbance score was 3.39±0.46, and contribution from professional risk was the biggest(19.95%). The self-ability score was 3.33±0.40, and contribution from financial support was the smallest(4.09%). According to the set pair analysis, village doctors′ vulnerability total score was 0.49±0.06, ranging in a medium category. According to the sample cluster analysis, 27.2%(277/1 018)of the village doctors stayed at the upper category, as 30.3%(309/1 018) was defined as a medium category. According to the quadrant analysis, 35.5%(361/1 018)of the village doctors were found as in crisis vulnerability.@*Conclusions@#In general, village doctors′ vulnerability stays in the medium category. They have to fight against high disturbance from surroundings, with more emotional support and less financial support expected.

18.
Chinese Journal of Hospital Administration ; (12): 23-26, 2020.
Article in Chinese | WPRIM | ID: wpr-798668

ABSTRACT

Objective@#To define the connotation of village doctors′ vulnerability.@*Methods@#On the basis of document analysis, Delphic method was used to consult and argument the connotation of village doctors′ vulnerability from October 2015 to November 2015.@*Results@#Twenty and 16 specialists were consulted in two rounds of the consulting. According to these consultations, the acceptance rate of the specialists for the seven consulting units increased from 74.29% to 93.16%.@*Conclusions@#The vulnerability of village doctors was identified, as a status in which their self-ability and support against their exterior environment could not to cope with the disturbances they faced, while the vulnerability was co-determined by disturbance and response ability of village doctors.

19.
Journal of Public Health and Preventive Medicine ; (6): 36-41, 2020.
Article in Chinese | WPRIM | ID: wpr-823128

ABSTRACT

Objective To analyze the spatial clustering of human schistosomiasis at the village level in key counties in Hubei Province, to provide scientific evidence for formulating strategies for human schistosomiasis prevention and control in the next stage. Methods Gong'an County and Jiangling County in Hubei Province were selected as representative counties for this study. A town or village was set up as a research unit. Schistosomiasis cases of a positive fecal examination in 2015 and cases with positive detection for schistosomiasis serological antibody titer equal or above 80 in 2016-2018 were selected as research subjects in these two counties. The Kulldorff circular scan statistic was used for the spatial clustering analysis of human schistosomiasis infection status in the population. Results There was spatial clustering of positive schistosomiasis cases of fecal examination, at the level of a town or village in both counties in 2015. There was spatial clustering of positive human serological antibody detection at the level of town or village from 2016-2018. Eighty-six endemic villages in five towns in the northeast of Gong'an County, along the Yangtze river,including Mahaokou Town, Zhakou Town, Yangjiachang Town, Jiazhuyuan Town and Douhuti Town, were the most prominent. There was no spatial clustering of positive results of human serological antibody detection at the town and village level in Jiangling County, in2017, while there was spatial clustering of human serological antibody detection in 2016 and 2018,respectively. Fifty-seven endemic villages in two towns (Puji Town and Xionghe Town) in the southwest of Jiangling County, along the Yangtze river,were the most prominent. Conclusion There were spatial clustering of human schistosomiasis epidemic at village level both in Gong'an County and Jiangling County, Hubei Province. Compared with the previous studies, there was a trend of shrink and decline of clustering areas. Therefore, the current situation of the epidemic has put forward higher requirements for the implementation of precise prevention and control in the progress of schistosomiasis elimination work in various epidemic areas.

20.
Article | IMSEAR | ID: sea-201458

ABSTRACT

Background: Hygienic practices performed by the rural women during menstrual cycle is often remain unsatisfactory, resulting adverse health outcomes and poor productivity. Assessment of the practices among different population groups as well as different geographical locations thus has been a priority issue. The objective of this study is to assess the menstrual hygiene practices among the village women attending a Primary Health Centre of Sipahijala district, Tripura.Methods: The study was conducted among 141 village women of reproductive age group (15-49 years), visited Madhupur primary health centre, Sipahijala district, Tripura for some other health conditions. Unwilling individuals were excluded from the study. Data were collected using a pre-designed pre tested schedule by interviewing the participants for basic socio-demographic variables as well as questions related to hygienic practices during menstrual period. Data were analysed using IBM SPSS version 20 and presented using principles of descriptive statistics. Ethical clearance was obtained from Institutional Ethics Committee, Tripura Medical College.Results: Majority of the study subjects belonged to 21-30 years of age group (49.3%). Cloth was the major absorbent material (44.0%) followed by sanitary napkin (36.2%). 47.5% of the study subjects reused the material. Only 2.1% of the study subjects changed the material less than 2 times/day. More than 90% of the study subjects clean their private parts regularly. 66.0% of the study subjects disposed the material in dustbin.Conclusions: Majority of the participants were performing satisfactory menstrual hygienic practices. However, large scale analytical studies will be helpful to draw a definite conclusion about influence of sociodemographic factors on menstrual hygiene practices.

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