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South East Asia Journal of Public Health
   Journal TOC RSS feeds Export to Zotero [4 followers]  Follow    
  This is an Open Access Journal Open Access journal
     ISSN (Print) 2220-9476
     Published by Bangladesh Journals Online Homepage  [86 journals]
  • Domestic violence: A hidden and deeply rooted health issue in India

    • Authors: Abantika Bhattacharya, Mausumi Basu, Palash Das, Aditya Prasad Sarker, Prasanta Kumar Das, Biman Roy
      Abstract: Domestic violence was identified as a major contributor to the global burden of ill health in terms of female morbid-ity leading to psychological trauma and depression, injuries, sexually transmitted diseases, suicide and murder. The study was conducted to find out the prevalence of different types of life time domestic violence against women; fac-tors associated with it and care seeking behavior. An observational cross-sectional study was done among 260 ever married women of 15-49 years of age using a predesigned pretested pro-forma from April 2011 to January 2012 by face to face interview. Data were compiled and analyzed by Epi Info 6 version and SPSS 17 version. The overall prevalence of any form of violence during the life time among the study population was 40.4%. Verbal/psychological violence was the most common form of domestic violence (85.7%) followed by physical (71.4%) and sexual violence (57.1%). Slapping and or beating, kicking, object throwing were the major forms of physical vio-lence; humiliation (91.1%) was the commonest form of psychological violence and most common form of sexual violence was forced sexual intercourse (58.3%). About 21% of the study population faced violence every day. Older age, lower age at marriage, longer duration of marriage, lower education of husband and wife, lower family income, unemployment of the husband and alcohol consumption of husband were associated with occurrence of domestic violence. We have found that the prevalence of domestic violence in this group of population is high. The alarming issue is that approximately one third of women (31.24%) who faced violence in their life-time had never sought any help. The findings indicate to develop appropriate and culturally relevant public health interventions to increase awareness and implement policies regarding violence against women. South East Asia Journal of Public Health 2013; 3(1): 17-23
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17706
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Knowledge, attitude and reported practice of primary school teachers on
           specified school health activities in Danuphyu Township, Ayeyarwaddy
           Region, Myanmar

    • Authors: Ye Minn Htun, Kay Thi Lwin, Nwe Nwe Oo, Kyaw Soe, Than Tun Sein
      Abstract: Schools are important settings for comprehensive health promotion. School exerts the most influence on the lives of children and youth. Schools can play a key role in supporting students’ health and, by extension, the health of their families and communities. This school-based cross sectional descriptive study was conducted in Danuphyu Town-ship from June to November, 2012. This study aimed to identify the levels of knowledge, attitude and practice of primary school teachers concerning four school health activities: comprehensive school health education; healthy school environments; prevention and control of communicable diseases; and nutritional promotion and food safety. The sample consisted of 97 teachers from 23 primary schools were randomly selected to participate in the study. A pre-tested structured questionnaire was used as a data collection tool. It was found that 62.9% of teachers achieved a high level of knowledge scores (mean knowledge score of 39.10 with SD 3.087); 57.7% had a positive attitude towards school health activities; 52.6% of teachers achieved high reported practice scores (with mean practice score of 66.07 and SD 4.17); teachers from urban areas, over 50 years of age, and with service duration of 20-24 years, are statistically significantly associated with higher levels of reported practice; teachers with high knowledge and posi-tive attitude scores achieved higher reported practice scores, but these associations are not statistically significant. Overall, over 50% of the teachers had a high knowledge, a positive attitude and high practice scores relating to school health activities, and this shows that favorable conditions exist at the schools among the teachers for further strengthening the school health program of Myanmar. Enhancing teachers' involvement in school health activities would establish good outcomes of the school health promotion program. Provision of continuous training of teach-ers in school health would further enhance knowledge of teachers, and would gradually inculcate positive attitudes among them. This would lead towards more involvement of teachers in school health activities. South East Asia Journal of Public Health 2013; 3(1): 24-29
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17707
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Certificate course in healthcare waste management: An overview

    • Authors: Reema Kumari, Anshita Singh
      Abstract: South East Asia Journal of Public Health 2013; 3(1): 72-73
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17716
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Knowledge and perception regarding the issues, opportunities and practices
           of public health among Ayurveda interns in India

    • Authors: Janmejaya Samal, Ashwini Ku Pratap
      Abstract: South East Asia Journal of Public Health 2013; 3(1): 74-76
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17717
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Qualitative research in medicine and healthcare: Is it subjective,
           unscientific or second class science?

    • Authors: Sayeeda Rahman, Md. Anwarul Azim Majumder
      Abstract: South East Asia Journal of Public Health 2013; 3(1): 69-71
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17715
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • The career destination of doctors who graduated from a medical college in
           Goa, India between 2000-2005: A retrospective cohort study

    • Authors: Umesh S Kamat, AMA Ferreira
      Abstract: The problem of health manpower shortage in developing countries appears to arise from brain drain or poor inclina-tion of qualified medicos towards medical practice. This study was conducted among the alumni of an allopathic medical college in Goa to find out the proportion of Goan doctors who remain allied to the medical field 5 years after graduating, and to examine the extent of brain drain among these doctors. The doctors who graduated between the years 2000-2005 were contacted through email/telephone/residential address to obtain the relevant information. Of the 383 doctors who graduated during the reference period, 96.6% could be traced, and out of these, 166 were male and 204 were female. The proportion of non-practicing doctors is 23.5%, and as many as 41% of the female medical graduates are not currently in medical profession. All the non-practicing female doctors were married, 52.9% (46/87) settled abroad and 31% (27/87) settled out of Goa. More than 41% of medically affiliated doctors worked out of Goa. Among those working in Goa 50.6% (84/166) worked for government health services, 31.9% (53/166) were attached to a private hospital/clinic, and 17.5% (29/166) were academically affiliated. None of the practicing doctors do general practice on their own. Given the steadily increasing number of female medical gradu-ates who constitute the bulk of non-practicing doctors it is imperative to bring in legislation stating minimum years of medical practice for every medical graduate. The brain drain of nearly 50% is an issue of concern, as also is the reduced number of doctors engaged in general practice. South East Asia Journal of Public Health 2013; 3(1): 65-68
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17714
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Fast food preferences and food habits among students of private
           universities in Bangladesh

    • Authors: Munmun Shabnam Bipasha, Shatabdi Goon
      Abstract: Consumption of takeaway and fast food by young adolescents is no longer confined to the developed countries; it has spread to the developing countries as well. The culture of fast food consumption has replaced the traditional meal among university students and is a great public health concern. Excessive consumption of fast food is responsible for obesity epidemics and the cause of a dramatic increase of obesity-related diseases (e.g. diabetes, heart diseases etc). A cross-sectional study was carried out from March to April, 2013 among students attending in four established private universities of Bangladesh situated in Dhanmondi, Dhaka: Daffodil International University, United International University, World University of Bangladesh, and State University of Bangladesh. The aim of the present study was to examine the preference, prevalence and pattern of fast food consumption among the students. The prevalence of fast food consumption among those students was 98.5%, and 43.3% of their pocket money was spent on its purchase. The important factors for the preference of fast food include good taste, easy accessibility, increased convenience, and pocket friendly in nature. Approximately 22% of the respondents mentioned that they consumed fast food 4 days per week and more than one-fifth had the meal every day. Fifty four percent of the respondents skipped their breakfast due to a variety of reasons including class pressure and had fast food after fin-ishing their classes, either from varsity canteens or other fast-food outlets. Though 98% of the students were well informed about the negative effects associated with excessive fast food consumption, they were still profoundly ad-dicted to it. Specific health education programs, dietary guidelines and effective public awareness campaigns could be initiated to address the unhealthy lifestyle of university students and improve their health. South East Asia Journal of Public Health 2013; 3(1): 61-64
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17713
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Effect of conditional cash transfer schemes on registration of the birth
           of a female child in India

    • Authors: Jenita Baruah, Anjam Rajkonwar, Shobhana Medhi, Giriraj Kusre
      Abstract: Girls have traditionally been neglected in India. The neglect is reflected in adverse sex ratio of 914 girls per 1000 boys as reported in 2011 census. The declining sex ratio can be prevented by the registration of female children and by ensuring their progress and safety. The study aims at finding the effect of the introduction of a conditional cash transfer scheme (‘Majoni’ scheme) upon the registration of a female child. It was a hospital record-based study where the preferential treatment of female children during registration into the birth register before and after the introduction of the Majoni scheme was measured. An effect of the scheme on the registration of male and female children was also compared. The introduction of this scheme increased the female to male ratio of applications for the registration of births from 1.06 to 1.34 and also increased the number of formal requests for the registration of the birth of a female child from 24.45% to 39.05%. Financial incentives or securities have been shown to modify human behavior. The increase in the numbers of applications for the registration of a female child, after the intro-duction of the ‘Majoni’ scheme was due to the financial incentive attached with the registration. The increasing trend in the number of applications with every passing month was probably due to the increase in awareness regard-ing the benefit of the scheme. Conditional cash transfer schemes, such as Majoni, can have a significant effect on increasing the registration of female children. Further study is required to evaluate the effect of the factors other than the financial incentive upon the registration of female children. South East Asia Journal of Public Health 2013; 3(1): 30-35
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17708
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Living conditions and public health status in three urban slums of Lagos,
           Nigeria

    • Authors: OP Akinwale, AK Adeneye, AZ Musa, KS Oyedeji, MA Sulyman, JO Oyefara, PE Adejoh, AA Adeneye
      Abstract: Lagos metropolis, southwestern Nigeria, is faced with environmental problems ranging from slums and informal settlements, to crime and delinquency. The aim of the study was to explore the demographic characteristics, migra-tion history and living conditions of 2,434 residents of Ajegunle, Ijora Oloye and Makoko in Lagos metropolis. A cross-sectional survey was conducted between June 2010 and October 2012 using a semi-structured questionnaire. Units of analysis used were households. Many of the respondents are low-income earners working in the informal service sectors, and living in unhygienic conditions. The communities are densely populated, with more than five people living in a room. Residents make use of poor and overstressed facilities and inadequate water and electricity supplies. They also lack appropriate garbage disposal facilities and good drainage. Personal hygiene habits are very poor; open defecation in ditches and the lagoon is widely practiced. Respondents are faced with perennial flooding due to blocked drainage systems resulting in a number of diseases, such as malaria, diarrhea, cold and cough. Migra-tion has led to uncontrolled and unplanned developments of slums in metropolitan Lagos. This in turn has led to poverty, unemployment, illiteracy, polluted environment, uncontrolled population growth and health problems in the slums as are observed in this study. There is an urgent need for comprehensive interventions from the government and other organizations to strengthen existing programs to improve the health and quality of life of this vulnerable population. South East Asia Journal of Public Health 2013; 3(1): 36-41
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17709
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Health and education provider collaboration to deliver adolescent sexual
           and reproductive health in Sri Lanka

    • Authors: Angela J Dawson, Kumuda Wijewardena, Ellie Black
      Abstract: The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services but the focus is often health sector specific. Few research studies have explored the views and experiences of health workers and teachers and examined how ASRH services and information are provided by professionals across the education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents. Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers, teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and training that were said to affect student access to appropriate health services. ASRH Collaborative practices were noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional educa-tion and training may provide opportunities to enhance collaboration supported and guided by appropriate policy, supervision and job descriptions (i.e. roles and responsibilities). South East Asia Journal of Public Health 2013; 3(1): 42-49
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17710
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Determinants of contraceptive method choice in Bangladesh: Male
           perspectives

    • Authors: Md. Shahidul Islam
      Abstract: Family planning programs are considered to be an important way to control the rapid population growth of Bangla-desh with the main focus being women. As a male dominant country, the knowledge of, attitude towards, and ap-proval of family planning is largely influenced by the male member of couples in their choice of appropriate contra-ceptive methods. This paper examined the determinants of current choices in family planning methods in relation to male knowledge, attitude and approval of family planning practices in Bangladesh. A total of 430 married men aged 15-49 years were interviewed in Narsingdi, a district town of Bangladesh. The findings revealed that the men’s level of contraceptive knowledge and their attitude to modern contraceptive was high in this area. The findings asserted that the contraceptive prevalence rate among couples was (62.1%), with oral pills (26.51%) and withdrawals (6.25%) being the most preferred modern and traditional methods respectively. The multinomial logistic regression model has been applied to understand the determinants of the choice of contraceptive method. These findings indi-cated that women in skilled occupation, positive attitude towards modern contraceptives of male, high level of knowledge on contraceptive methods of male, approval of family planning by male, and current living children had significantly more positive effects on using modern contraceptives by the couple. It was also found that couples who desired more children were less likely to use modern contraceptives. Alternatively, the education level of the hus-band and the desired number of additional children had a negative impact on the use of traditional methods while media exposure, a high level of knowledge on contraceptives, and an approval of family planning had positive im-pacts on the use of traditional contraceptives over not using any method. The government should increase the fund-ing and availability of family planning programs which promote the use of modern contraceptive methods, espe-cially those that are targeted towards the male population. South East Asia Journal of Public Health 2013; 3(1): 50-56
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17711
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • A case-control study of risk factors for ischemic heart disease in
           patients attending tertiary care hospitals in India

    • Authors: Rachna Kapoor, Sheetal Vyas, Pinkal Patel, Hemangi Mehta, Pooja Mehta, Jinkal Modi, Sruthi Nair
      Abstract: Ischemic heart disease (IHD) is the leading cause of both mortality and forgone healthy years of life among working-age adults (15-69 years) in South Asia. It is the leading cause of death in India and worldwide. For non-communicable diseases (NCDs), common, modifiable and easily measurable risk factors could be reliably used to predict the future burden of the diseases and to measure the effectiveness of public health interventions. A case-control study was undertaken to examine the socio-demographic profile of IHD patients and to identify the risk fac-tors in already diagnosed cases of IHD admitted in three tertiary care hospitals of Ahmedabad, India. We have in-cluded 100 cases and 100 controls who were group matched with the cases. The association of various risk factors with IHD was assessed. On univariate analysis it was found that 7 out of 8 risk factors were significantly associated with IHD. They are alcohol consumption (OR; 14.6, 95% CI; 6.4-33.3), smoking (OR; 13.6, 95% CI; 6.6-27.8), to-bacco consumption in non-smoking form (OR;2.3, 95% CI; 0.78-7.02), hypertension (OR; 6.5, 95% CI; 3.4-12.3), Type 2 diabetes (OR; 4.5, 95% CI; 2.4-8.7), obesity (OR; 9.7, 95% CI; 4.9-19.1), sedentary lifestyle (OR; 3.8, CI; 1.8-8.4 ) and family history (OR; 5.3, 95% CI; 2.8-9.9). This study identified the significance of alcohol, smoking, obesity, Type 2 diabetes, hypertension, sedentary lifestyle and family history in the outcome of IHD. This suggests that the increased cardiovascular risk among the urban population of Ahmedabad city may be preventable through lifestyle interventions along with the judicious use of medicines to attain optimal levels of blood pressure, lipids and glucose among the high risk population. South East Asia Journal of Public Health 2013; 3(1): 57-60
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17712
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Stillbirths: A high magnitude public health issue in India

    • Authors: Divya K Bhati
      Abstract: A stillbirth is a baby born with no signs of life at or after 28 weeks’ gestation, while preterm births are those which occur between 28 weeks to 32 weeks of gestation. Approximately 3.2 million stillbirths occur annually in low- and middle-income countries. The aim of this paper is to review the present status of the stillbirths and identify the un-derlying factors of stillbirths in India. A search of PubMed and other search engines were conducted to retrieve the literature pertaining to neonatal and perinatal health in India. Four priority areas were used to select the studies: overview (prevalence of the stillbirths), challenges in mapping the potential causes of stillbirths, socio-cultural fac-tors associated with stillbirths, and government response towards stillbirths. It was found that women face many difficulties due to accessibility, availability, affordability and quality issues when utilizing healthcare facilities dur-ing pregnancy. Several studies based on stillbirths also revealed the social aspects of perinatal grief. Stillbirths are bounded by high family pressures and social stigma. A review also revealed that half of all stillbirths occur in India, Pakistan, Nigeria, China and Bangladesh alone. These countries also account for a high number of maternal and newborn deaths. India has highest number of stillbirths in the world – the rates range from 20 to 66 per 1000 births in different states. It was also found that healthcare and socio-cultural factors contribute to the increase in the num-ber of stillbirths in India. These issues highlight the need for urgent action and interventions to be taken by the gov-ernment and other organization to improve the situation of stillbirths in India. Early neonatal deaths and stillbirths usually have obstetric causes, and are largely preventable if good quality obstetric care is made available at the right time. Initiatives for strengthening the information management system at the grassroots level to report stillbirths on a regular basis are necessary to improve the neonatal health indicators in India. South East Asia Journal of Public Health 2013; 3(1): 3-9
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17704
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Obesity in junk food generation in Asia: A health time bomb that needs
           early defusing!

    • Authors: Sayeeda Rahman
      Abstract: South East Asia Journal of Public Health 2013; 3(1): 1-2
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17703
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
  • Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS
           prevention and management in Nepal

    • Authors: Preeti K Mahato, Peng Bi, Teresa Burgess
      Abstract: HIV/AIDS has emerged as a serious epidemic in Nepal, concentrated amongst the most-at-risk populations. Volun-tary Counseling and Testing (VCT) is a proven strategy for the prevention and management of HIV/AIDS especially in developing countries. Given that the utilization of VCT is low in Nepal, it is important to understand the barriers and challenges that Nepal is facing in the provision and utilization of these services. This study aimed to provide recommendations for policy makers to improve the utilization of VCT services in Nepal. A qualitative study of VCT health service providers and government officials was undertaken in 4 cities of Nepal. Sixteen interviews, three joint interviews and one focus group discussion were conducted, audio recorded and transcribed verbatim. Data were then analyzed using a thematic analysis framework and major themes were identified. Various barriers including socio-cultural issues, geography, the presence of stigma and discrimination faced by people with HIV/AIDS and a lack of knowledge and awareness were identified as important factors limiting the utilization of VCT services. Current gov-ernment efforts to improve VCT service provision, although promising, require ongoing development. Systemic barriers included the sustainability of the temporary NGO VCT services, lack of staff and training, inadequate moni-toring and evaluation and limited access to services for people living in rural areas. To increase the sustainability and utilization of VCT services, the Government can intervene in a number of areas including the integration of VCT services with existing primary health care services and addressing ongoing education and quality assurance. South East Asia Journal of Public Health 2013; 3(1): 10-16
      DOI : http://dx.doi.org/10.3329/seajph.v3i1.17705
      PubDate: 2014-01-18
      Issue No: Vol. 3 (2014)
       
 
 
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