Impact of intervention on adequate antenatal care and associated factors among Baiga tribal women of Madhya Pradesh: a case-control study

Background: This study was done to report on adequate antenatal care services owing to the impact of IEC intervention among deprived Baiga tribal women. Methods: Intervention study of 367 tribal women having a reproductive age of 15 to 49 year of 24 villages from district-Dindori. Pre-tested, administered intervention tools were implemented in intervention groups (12 villages) to enhance women's knowledge for the use of ANC services (phase-I) and in phase-II impact evaluation survey of mother’s antenatal care utilization and related details were collected from mothers of both intervention and control group. Based on baseline indicators, a carry forward IEC-intervention study was taken considering the case-control design. Logistic regression analysis was used to identify the associated factors. Results: Use of ANC services 82.3% was found to have increased by 10.3% from baseline (72%); it was found significantly higher (88%) in the intervention group while lower (76.1%) in the control group. As regards 60% women received more than 3 ANC check-ups remarkably higher by 13% in the intervention group. Health institution child births 44.8% were found meaningfully improved by 36.8% from baseline (8%); also, it was revealed higher (49.7%) in the intervention group than lower (40%) in the control group. Women’s education and exposure of previous pregnancy has found strong association with adequate antenatal care in intervention groups. Conclusions: A comparatively high proportion of the use of ANC services and institutional child birth were found in the intervention group. Improving the access to more quality health services in other tribal communities may necessitate the intervention research.

A school based cross-sectional study to assess the health problems and health status among school going children at Akhorigola, Rohtas District, Bihar

Background: School-going children constitute one-fifth of the total population. They are the future of the nation's successor generation; therefore, high-performing students are important investments in building the nation's future. This study aimed to identify the health problems among school-going children. Methods: The current research was a cross-sectional study conducted in the Akhorigola block of Rohtas, targeting school-going children. A total of 650 participants were selected through a purposive sampling technique and assessed using a pre-structured format. The acquired data was analyzed using the statistical package for the social sciences (SPSS) to calculate the results based on objectives and hypotheses. Results: The outcomes of the study showed that among the 360 school-age boy participants, 210 (58.33%) had a normal weight, 100 (27.79%) were underweight, and 50 (13.88%) were overweight. Among the 290 girl participants, 150 (51.82%) had a normal weight, 110 (37.84%) were underweight, and 30 (10.34%) were overweight. The study also revealed that the majority of the 650 participants, 149 (22.92%), had inadequate personal hygiene, 109 (16.76%) had dental caries, 78 (12%) were affected by worm infestation, 55 (8.46%) were anemic, 47 (7.23%) had vitamin-A deficiency, 44 (6.76%) had scalp and hair problems, 38 (5.84%) had ear problems, and 30 (4.61%) had impaired visual acuity. Conclusions: Implementing school health programs can pose several challenges, but these can be effectively tackled through the integration of activities between the health and education departments.

Nutrition status and associated factors among tribal preschool children of 2-5 years in five districts: a cross-sectional study from three states of India

Background: To report the nutrition status in preschool children by 2-5 years of age among tribal children from five districts of India. Methods: Community based cross sectional study of 204 tribal households having a child aged 2-5 year from five Indian districts with a considerable proportion of the tribal population. Socio-demographic details, and nutrition status by anthropometric measurements of children were collected from mothers. The age, sex, height and weight data of children were analysed according to WHO child growth, 2006 criteria to estimate the nutritional status. Multiple logistic regression analyses were performed to identify the associated factors. Results: Only 56% preschool children (2-5 years) were having normal nutrition among the tribal children; 44% preschool children were found to be malnutrition. Of them, 27.9% (29.2% boys and 26.8% girls) were severely underweight (<-3SD), and 15.7% (13.5% boys and 17.6% girls) were underweight (-3SD to -2SD). The age-appropriate nutrition was unsatisfactory due to delay in breast feeding, nuclear family, child birth at home, mother education and non-availability of milk giving animal were the main reasons for malnutrition. Extended family, higher education of mothers and head of the household, hospital birth and breastfeeding immediately were significantly associated with normal nutrition. Conclusions: A relatively low proportion of children were normal nutrition among the tribal population. Socio-economic factors, mainly the parental education, extended family were significantly associated with a child being normal nutrition. Improving the socio-economic status is crucial, and there is a need to improve the nutrition coverage in tribal areas.

Interesting case report on Chiari network

The Chiari network is a congenital remnant that is typically found in the right atrium and is generally not associated with significant pathophysiological implications. Usually, this is detected on general routine health checkup screening or casual examination. But, occasionally in certain cases, it is possible for this condition to results in diagnostic ambiguity when assessing right atrial disorders. Additionally, it has potential to contribute to the development of thromboembolism by inducing flow blockage. The Chiari network can be accurately diagnosed by echocardiography. This network appear as a highly mobile, highly reflectant echo target at many regions in the right atrium during transthoracic and transesophageal echocardiography. In this study, we provide a case involving an 18 year old male students studying cardiac technology who was diagnosed incidentally during echocardiography practical classes with Chiari network, mild TR and mild PR. The value and precision of echocardiography are becoming more widely recognized and being used more frequently. The potential for finding normal anatomical variations and their potential incorrect interpretation as pathological states coincides with the wider implementation of this imaging method.

Understanding among dialysis therapist and technologist about prevention protocols of COVID-19 in north-west zone of India: a questionnaire-based survey

Background: All over the world human community fighting with COVID-19. It affected a large number of population. Our immune system helps fighting with COVID-19, CKD patients which are on MHD are more prone to COVID-19 infection. MHD patient required twice or thrice a week dialysis. During dialysis, a therapist plays a major role in COVID-19 HD procedure of CKD patients. Dialysis therapist works like a frontline warrior. Aim was to observe the understanding of dialysis therapist/technologist about COVID-19 protocols for prevention of COVID-19 infection. Methods: A total 122 responder from northwest zone of India attended question-based survey form on the understanding of the infection prevention procedure of COVID-19 maintenance hemodialysis patients. Question set was based on union health ministry of Indian government guideline for dialysis unit set up for COVID-19 patients, Dialysis therapist and patents care taker. Data collection was done by online sampling method. Results: Study observed dialysis therapist of northwest India about understanding of COVID-19 prevention protocols. Approximate- 122 participants include in this study. But major case of COVID-19 treating in government sector hospitals. This study observed that mostly participants have good understanding about COVID-19 infection prevention protocols. Conclusions: Required a regular education training program for all government and private sector health workers for infection control practices of COVID-19. Dialysis therapist and other health workers are doing work like a frontline warrior, their safety is a major concern so we can avoid the risk of transmission of disease to dialysis therapist.

A review on caring of surgical wound after surgical procedure

Inadequate wound healing and scar formation continues to be major issues in day-to-day surgical practice. A wound infection (like pus formation, smelly discharge, and the incision line抯 opening etc.) is one of them complications of surgical procedure. An infection may appear in surgical wound due to lack of care in post-operatively like dressing not being changed after regular interval, not following aseptic protocol during the dressing, and the dressing material not properly sterilized. Hence, the aim of proper care in post-operative practice was to reduce the risk of infection in surgical wound and promote healing. One of the most important aspects of post-operative wound care is prompt wound evaluation, appropriate hand washing, adhering to aseptic protocol when dressing, using sterile dressing material each time, and proper cleaning of the wound, as well as the prompt identification and management of wound complications.

Retroperitoneal abscesses: a diagnostic dilemma – case series, review of the literature and practical guide for the management of iliopsoas abscessess

Retroperitoneal abscesses are uncommon clinical conditions which can pose a notoriously difficult diagnostic dilemma. This paper focuses on the management of secondary iliopsoas abscesses (IPA). We aim to review the literature for the diagnosis and management of IPA, as well as present our IPA pathway, which we believe will reduce the difficulties clinicians may encounter when treating patients with IPA. Our three IPA cases are of colorectal, orthopaedic and urological origin. All patients underwent percutaneous drainage of the IPA, with one proceeding to open drainage. No mortalities were reported. IPA is a condition that presents diagnostic and therapeutic challenges to clinicians. The classical triad of IPA comprising of fever, abdominal/back pain and a limp is reported in just 5 – 30% of cases. Computed tomography remains the gold standard for diagnosis and radiologically guided drainage should be attempted in the first instance. The literature emphasizes the importance of maintaining a high index of suspicion for IPA, as it can be easily misdiagnosed within a wide range of differentials. Empirical treatment consists of broad-spectrum antibiotics, which should be adjusted when blood/aspirate cultures are available. Open drainage should be reserved for cases where percutaneous attempts are not appropriate, unsuccessful, or a patient clinically deteriorates. In a practical sense there is often confusion as to which specialties should best manage IPA. In recognising these difficulties, an IPA pathway would act as a concise guide for clinicians and ultimately optimise patient care.

Effect of Pre-harvest Application on Physical Attributes of Guava (Psidium guajava L.) in cv. L–49: Plant Growth Regulators and Bagging

The present investigation was conducted to study the Effect of pre-harvest application of plant growth regulators (PGR) and bagging on Physical attributes of Guava (Psidium guajava L.) in cv. L - 49. The research was carried out at the main experiment station Horticulture, Department of Fruit Sciences, Acharya Narendra Deva University of Agriculture and Technology, Narendra Nagar, Kumarganj, Ayodhya 224229 (U.P.) India during the year 2022-23. The experiment was conducted in a Randomized Block Design with three replications and 8 treatments GA3 (50 ppm) and NAA (20 ppm) and GA3 (50 ppm) +NAA (20 ppm), GA3 (50 ppm) with bagging, and NAA (20 ppm) with bagging. GA3 (50 ppm) + NAA (20 ppm) with bagging, bagging (white polythene), and control applied on spray 45 days before harvesting. It is concluded that among the different treatments. T6 GA3 (50 ppm) + NAA (20 ppm) with bagging, was recorded maximum Fruit length (4.90 cm), Fruit width (6.62 cm), Fruit weight (158.20 gram), Fruit volume (161.60 cm3), Specific gravity (0.98 g/cm3) therefore, recommended for application to the Guava tree in the sub-tropical region of Uttar Pradesh in order to obtain better quality fruit.

Assessment of Correlation Analysis for Yield and Yield Contributing Traits among Tomato (Solanum lycopersicum L.) Genotypes

Tomato (Solanum lycopersicum L.) is one of the most economically valuable crops worldwide, making it imperative to understand the complex interplay of various factors influencing tomato yield. During the research, we investigate Correlation analysis enhances our understanding of the relationships between the variables. We employ Pearson correlation coefficients to assess the strength and direction of linear associations. The results indicate strong positive correlations between morphological traits of diverse genotypes of tomato. This research article contributes to the existing body of knowledge by providing a comprehensive assessment of the correlations among key factors influencing tomato yield. Our findings have practical implications for tomato growers, enabling them to make informed decisions regarding selection of different tomato genotypes strategies to optimize yield.

Bio-Efficacy of Novel Insecticides and Biopesticides against Diamondback Moth, Plutella xylostella (Linn.)

The present investigation entitled ‘bio-efficacy of Novel insecticides and bio-pesticides against Diamondback moth, Plutella xylostella (Linn.) was carried out on the cabbage, variety ‘Golden Acre’ during Rabi, 2021-22 and 2022-23. At Crop Research Centre, Sardar Vallabhbhai Patel University of Agriculture and Technology, Meerut (UP). The data were recorded on five randomly selected plants once in a standard week. Pooled data of both the year (2021 and 2022), After treatments, spinosad 2.50% SC at 600 ml ha-1 consistently showed the lowest larval count on days 3, 7, and 14, with 3.33, 2.17, 2.25 larvae per five plants followed by emamectin benzoate 5% SG at 200 g ha-1, diafenthiuron 50% WP at 600g ha-1, Bacillus thuringiensis var. kurstaki at 1000 g ha-1, Beauveria bassiana at 1500 ml ha-1 and Metarhizium anisopiliae at 2000 g ha-1, and nimbecidine 0.03% at 2500 ml-ha, respectively. The nimbecidine 0.03% at 2500 ml ha-1 recorded the lowest efficacy. Chemical and biological treatments varied significantly, while chemicals had similar efficacy, and biologicals were equally effective. Control plots had the highest larvae count.

Effect of Mulch or without Mulch on Growth, Yield, Quality and Economics of Different Intercrops in Kinnow Orchard under Semi-arid Irrigated Conditions

The present investigation was carried out with the objective to find best suited intercrop for bearing kinnow orchard at village Balsamand of district Hisar during the years 2020 and 2021. Four vegetable crops viz. watermelon, cantaloupe, chilli, tomato and control (sole kinnow) were selected as intercrops and transplanted on silver on black mulch. In mulched plots plant height/vine length, number of fruits plant-1, average fruit weight, fruit weight plant-1 and yield (q/ha) was recorded higher than without mulched plots. No significant difference in fruit length of watermelon, cantaloupe and tomato during first year and watermelon and tomato during succeeding year was recorded in mulched plots. Mulch influenced the fruit width of watermelon during both the years. The BCR ratio was recorded higher in without mulched plots in all the crops except watermelon recorded higher BCR in mulched plots during 2021. The highest benefit cost ratio in all the crops was recorded higher in without mulched plots of watermelon, cantaloupe, chilli and tomato crop (1:5.84, 1:5.17, 1:2.99 and 1:2.71) and (1:5.01, 1:5.06, 1:2.64 and 1:2.60) during 2020 and 2021, except in watermelon crop where highest benefit cost ratio (1:5.17) was observed in watermelon crop in mulched plots during 2021.

Investigation on the Abiotic Influences on Amplitude Fluctuation in the Incidence of Major Pest of Rice in Eastern Uttar Pradesh, India

An experiment was conducted at Students Instructional Farm, Acharya Narendra deva University of agriculture and technology Kumarganj, Ayodhya (U.P.). during Kharif season 2021. The incidence that, the yellow stem borer, leaf folder, green leaf hopper, BPH and gundhi bug were recorded. The highest dead heart per cent of yellow stem borer was recorded on rice at 36th SMW (12.97 per hill) and white ear per cent (7.41 per hill) in 44th SMW, leaf folder 41st and 32nd SMW (6.75 & 0.10 per hill), green leaf hopper 43th and 32nd SMW (3.25 & 0.20 nos./hill), BPH 44th and 34th SMW (9.84 & 0.15 nos./hill) and gundhi bug 45th and 40th SMW (1.37 & 0.20 per hill).Yellow stem borer (dead heart) was showed non-significant positive correlation with rainfall, minimum, maximum temperature and sun shine however, relative humidity showed significant positive correlation with dead heart. White ear showed that non-significant negative correlation with rainfall while, minimum, maximum temperature and relative humidity significant negative correlation however, sun shine showed non- significantly positive correlation with white ear. Leaf folder incidence showed non- significant positive correlation with rainfall and relative humidity, maximum and minimum temperature showed non-significant negative correlation, however sun shine showed significant positive correlation. Relative humidity and rainfall exhibited non-significant negative correlations with the incidence of green leaf hopper, although substantial positive correlations with sun shine and minimum and maximum temperatures were observed. Minimum and maximum temperatures, relative humidity, and rainfall all exhibited non-significant negative correlations with the population of BPH; however, sunshiny days revealed a substantial positive link. The incidence of gundhi bug, showed significant negative correlation with minimum, maximum temperature and relative humidity correlation while rainfall and sun shine showed non-significant negative correlation and non-significant positive correlation respectively.

Evaluation of awareness and factors determining satisfaction among tuberculosis patients regarding RNTCP services in a western district of Uttar Pradesh: a cross sectional study

Background: With the help of ‘Revised National Tuberculosis Control Program’ (RNTCP), India has envisioned to end Tuberculosis (TB) five years ahead of the targets set by SDG which was by 2030. Regular evaluation is necessary for every programme to keep the programme in track and to identify the existing lacunae. Therefore, this study was planned to assess the awareness of TB patients regarding RNTCP along with identifying the factors which determine satisfaction of TB patients. Methods: A community-based cross sectional study was conducted on patients seeking treatment at district tuberculosis centre and DOTs centres of district. The data were collected using a close-ended, pretested and pre-validated questionnaire. Results: The mean score for awareness regarding TB among 205 study participants was 5.76±1.88 with level of awareness being poor, average and good in 41%, 31% and 28% of the study participants respectively. The mean satisfaction score was 9.47±1.02 and the services were perceived as good, average and poor by 56%, 39% and 5% of the study population respectively. Majority of the participants were unsatisfied due to the untimely distribution of the money provided under Nikshay Poshan Yojna (31.7%). The reasons for satisfaction among majority of the participants was the availability of staff at DOTS Centre (87.3%). A significant correlation was observed between satisfaction score and awareness score (r2=0.033, p=0.01). Conclusions: The overall awareness and satisfaction about RNTCP services was good among TB patients with a greater satisfaction among people with high awareness.

Isolated IgG4-related sclerosing cholangitis mimicking hilar cholangiocarcinoma: a case report of a challenging disease

IgG4-related disease (IgG4-RD) has recently attracted attention worldwide; however, its diagnosis still remains challenging. It is an immune-mediated multisystem disease affecting a wide range of organs in the human body. Even though it's uncommon, IgG4-sclerosing cholangitis, which is a biliary manifestation of IgG4-RD, can happen without pancreatic involvement. Here, we report a case of a patient with imaging features typical of hilar cholangiocarcinoma, which eventually turned out to be IgG4 sclerosing cholangitis.

Real World Evidence of Bempedoic Acid on Efficacy and Safety in Patients with Uncontrolled LDL-c and at High Risk of CVD

Background and Objective: Cardiovascular disease (CVD) is a significant cause of morbidity and mortality worldwide, with high-risk patients requiring effective management to reduce their risk of cardiovascular events. Bempedoic acid is a novel therapeutic agent recently approved as an add-on therapy to statins in patients with uncontrolled LDL-c. Bempedoic acid inhibits cholesterol synthesis in the liver, which ultimately reduces the risk of cardiovascular events. Therefore, the present study aims to assess the efficacy and safety of bempedoic acid in patients with uncontrolled LDL-c (Previously on moderate or high-intensity statins) with a high risk of CVD in real-world settings. Methods: This is a multicenter, retrospective, observational study on the data of high-risk-CVD patients collected from Bempedoic Acid on Efficacy and Safety in patients (BEST) Registry. The clinical data of 140 patients who were already on statin therapy and were receiving Bempedoic acid at a dose of 180 mg, along with measurements of the level of LDL-c, HbA1c, HDL, TG, TC, PPPG, FPG, AST, ALT, serum creatinine was taken into consideration. The primary outcome includes a change in LDL-c level, and secondary outcomes involve a change in the level of HbA1c, HDL, TG, TC, PPPG, FPG, AST, ALT, and serum creatinine at week 12 and 24. Adverse events were reported at both time points. Results: A total of 140 patients were included in the present study with a mean age of 51.8 ± 9.2 years and had primary confirmed diagnosis of dyslipidemia with uncontrolled LDL-c. The mean levels of LDL-c decreased from the mean baseline value of 142.67 ± 46.49 mg/dL, to 106.78 ±33.92 mg/d; a statistically significant reduction by 23.23% (p < 0.01) at week 12. Similarly, at week 24, the mean LDL-c value reduced to 90.39 ± 38.89 mg/dL. A 33.38 % decrease was observed (p < 0.01). Other parameters such as non-HDL, FPG, PPPG, AST and serum creatinine also showed statistically significant reduction at week 12 and week 24. Conclusion: The present study demonstrates that bempedoic acid is an effective add-on medication in lowering LDL-c levels in high-risk CVD patients with uncontrolled LDL-c.

Laparoscopic repair of traumatic intraperitoneal bladder rupture: a rare case report

Laparoscopic repair of traumatic intraperitoneal bladder rupture is safe and effective technique. We here report case of 49 year male with traumatic intraperitoneal bladder rupture proven by CT urogram after sustaining blunt trauma abdomen injury, repaired by laparoscopy technique. Patient recovered without any complications and was discharged on postoperative day 6 under stable condition. we here by conclude that if bladder injury identified early and conditions if feasible, laparoscopic repair is one of the good options for further management without involving open laparotomy.

Laparoscopic repair of traumatic intraperitoneal bladder rupture: a rare case report

Laparoscopic repair of traumatic intraperitoneal bladder rupture is safe and effective technique. We here report case of 49 year male with traumatic intraperitoneal bladder rupture proven by CT urogram after sustaining blunt trauma abdomen injury, repaired by laparoscopy technique. Patient recovered without any complications and was discharged on postoperative day 6 under stable condition. we here by conclude that if bladder injury identified early and conditions if feasible, laparoscopic repair is one of the good options for further management without involving open laparotomy.

Incidence and probable risk factors of post COVID syndrome among COVID-19 patients in urban population of North Kerala: a 6 months cohort study

Background: Post-COVID condition is an important health burden all over world. This study was conducted to determine incidence, symptoms and risk factors of post COVID syndrome. Methods: Cohort study was done on COVID-19 patients of Mukkam Municipality tested from Mukkam Community Health Centre. Baseline data was collected using pre-tested semi-structured questionnaire by direct interview method after obtaining their consent. Subjects were followed up weekly for 6 months to know occurrence of post COVID syndrome, its course and outcome if any. Incidence and relative risk for age, gender, COVID-19 vaccination status, comorbidities and severity of COVID-19 illness were assessed for post COVID syndrome. Chi-square test was used for statistical association between severity of COVID-19 and occurrence of post COVID syndrome. Results: Among 800 persons tested for COVID-19, 28.75% were tested positive. Incidence of post COVID syndrome among study subjects was 42.2%. Relative risk for post COVID was high among participants having age more than 60 years (RR-1.76), females (RR-1.07), with comorbidities like diabetes (RR-1.28), hypertension (RR-1.06) and cardiac illness (RR-1.05), unvaccinated status (RR-1.21) and in severe COVID-19 infection (1.20). There is a significant statistical association between occurrence of post COVID syndrome and degree of severity of COVID-19 disease (p=0.0046). Conclusions: Post-COVID syndrome was found more often in older people who had severe COVID-19 illness, also incidence increases with severe COVID-19 illness.

Oral health problems and treatment seeking behaviour of school going children and adolescents in Palampur area of Kangra district in Himachal Pradesh, India

Background: Poor oral health is still a major burden for populations throughout the world, particularly in developing countries. However, it could not receive proper attention in our country. Present study was conducted mainly to investigate oral health behavior of school going children and adolescents. Methods: Cross-sectional study was conducted during March 2022 to July 2022 among 268 students aged 6 to 19 years using stratified multistage random sampling technique in Palampur, Himachal Pradesh, India. Results: Among all 268 respondents including 118 (44%) females and 150 (56%) males, 116 (43.2%) respondents were aware of oral health problems. There were 251 (93.6%) respondents not aware of good oral hygiene practices and 224 (83.6%) suffered oral problems during last one year. Only 168 (62.7%) out of 268 respondents consulted dentists. Whereas, 231 (86.2%) were scared of consulting during covid-19 lockdown. Among those who consulted, 87 (51.7%) didn’t face any problem during dental checkup and satisfaction with consultation was reported by 146 (86.9%) respondents. High cost of treatment (41.7%) fear of absence from schools (40.0%) followed by misconception that treatment was not necessary (31.0%) came out to be the most common reasons on non-consultation. Conclusions: Present study reported high prevalence of oral health problems and lack of awareness regarding good oral hygiene practices among respondents. Oral health education should be imparted among children and adolescents for adopting good hygiene practices and timely seeking dental health care.

Acceptance of COVID-19 Vaccination Among Health Care Workers in India

Background: The coronavirus disease 2019 has been spread almost all over the world in the last two years, including in India. Vaccines are a critical tool in the battle against COVID-19, and India has flagged the largest vaccination drive on 16 January 2021. Although public acceptance was varying, which can lead to non-acceptance. Aim & Objective: To estimate an acceptance of the COVID-19 vaccine and its associated factors. Settings and Design: An analytical cross-sectional study among health care workers in India Methods & Material: It was conducted using a validated, self-administrated online survey questionnaire, and data were analyzed using SPSS 23 version. The outcome variable was healthcare workers’ acceptance of a COVID-19 vaccine. Results: A total of 450 HCWs participated, including 205(45.6%) women and 245(54.4%) men. A total of 270 (60%) subjects will accept vaccines, while 33.3% were unwilling to accept and wait for vaccines. Male gender (OR=3.14), being married and experienced (OR=11.49), vaccine effectiveness (OR=6.4), vaccine safety (OR=3.4), and past history (OR=2.28) were significantly associated. On applying logistic regression for associated factors, gender (B= -1.145, S.E.= 0.200, Wald 32.748), being married (B= -1.482, S.E.= 0.216, Wald 46.937), for experienced (B= -0.865, S.E.= 0.200, effectiveness (B= -1.856, S.E.= 0.245, wald 57.431), Safety (B= -1.224, S.E.= 0.202, Wald 36.633) and past history (B= -0.357, S.E.= 0.248, Wald 2.071) found significant. Recommendation: Proper information is crucial and healthcare workers’ attitudes about vaccines are an important factor for acceptance and recommendation of the vaccine to the public for population-wide coverage.