Indian journal of public health最新文献_第2页

Prevalence of Household Waste Segregation, Collection Infrastructure, and Community Practices: Urban-Rural Disparities from Eastern India - Linking Action to Policy. 家庭垃圾分类、收集基础设施和社区实践的普遍性：印度东部的城乡差异——将行动与政策联系起来。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_270_26

Sonali Kar, Vivek Verma, Angana Ray, Gouri Kumar Rath

{"title":"Prevalence of Household Waste Segregation, Collection Infrastructure, and Community Practices: Urban-Rural Disparities from Eastern India - Linking Action to Policy.","authors":"Sonali Kar, Vivek Verma, Angana Ray, Gouri Kumar Rath","doi":"10.4103/ijph.ijph_270_26","DOIUrl":"https://doi.org/10.4103/ijph.ijph_270_26","url":null,"abstract":"Background: Household waste segregation and collection infrastructure are foundational to environmental sanitation and infection prevention. Evidence on prevalence patterns and policy translation from eastern India remains limited.Materials and methods: A community-based mixed-methods descriptive study was conducted among 219 households (urban = 110; rural = 109) in eastern India. Quantitative data were collected using interviewer-administered questionnaires and observational checklists assessing segregation practices, storage systems, and collection infrastructure after pilot validation. Waste quantification was undertaken in a subsample using color-coded bag weighing. Urban-rural comparisons were analyzed using Chi-square tests and independent t -tests, whereas thematic analysis was applied qualitatively.Results: Overall segregation compliance was significantly higher in urban households. Use of dustbins for kitchen waste was 75% in urban areas compared with 65% in rural areas ( P < 0.001), whereas indiscriminate dumping was reported exclusively in rural households (20%). Formal municipal collection coverage was substantially greater in urban settlements, whereas rural households relied on roadside dumping, burning, and informal disposal systems. Rural households generated significantly higher organic waste (2.38 ± 0.60 kg/day vs. 1.38 ± 0.50 kg/day; P < 0.001).Conclusion: Marked urban-rural disparities exist in household waste segregation and collection infrastructure. Strengthening decentralized waste systems, behavior change communication, and municipal outreach is essential. Integrating segregation monitoring into national sanitation missions and primary health platforms can translate household action into policy-responsive environmental health gains.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-effectiveness of Intravenous Iron Sucrose for Treating Anemia in Pregnancy: A Model-based Cost Utility Analysis. 静脉注射蔗糖铁治疗妊娠期贫血的成本效益：基于模型的成本效用分析。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_597_24

Deepshikha Sharma, Pankaj Bahuguna, Neelam Aggarwal, Arun Kumar Aggarwal, Shankar Prinja

{"title":"Cost-effectiveness of Intravenous Iron Sucrose for Treating Anemia in Pregnancy: A Model-based Cost Utility Analysis.","authors":"Deepshikha Sharma, Pankaj Bahuguna, Neelam Aggarwal, Arun Kumar Aggarwal, Shankar Prinja","doi":"10.4103/ijph.ijph_597_24","DOIUrl":"https://doi.org/10.4103/ijph.ijph_597_24","url":null,"abstract":"Background: Anemia is one of the most common nutritional deficiencies among pregnant women, often causing adverse maternal and fetal outcomes. While oral iron has been the primary strategy for managing anemia, however, issues related to compliance and absorption have limited its effectiveness. Intravenous iron sucrose has emerged as a potential alternative, but its cost-effectiveness remains underexplored.Objectives: The present study was undertaken to assess the cost-effectiveness of intravenous iron sucrose compared to oral iron for moderately anemic pregnant women in India.Materials and methods: A decision-tree model was developed to estimate the costs and outcomes of anemia in maternal and fetal/newborn populations. The analysis adopted an abridged societal perspective, considering health system costs and out-of-pocket expenditures. Indirect costs were included in the sensitivity analysis. Deterministic and probabilistic sensitivity analyses were undertaken to assess the robustness of findings.Results: The use of intravenous iron sucrose has an incremental cost-effectiveness ratio (ICER) of Indian National Rupee (INR) 30,397 per disability adjusted life year averted and INR 7489 per quality-adjusted life year gained. These ICERs are below the threshold of 1-time gross domestic product per capita, indicating that intravenous iron sucrose is a cost-effective therapy. The results were sensitive to extreme variations in treatment adherence rates.Conclusion: Intravenous iron sucrose proves to be a cost-effective strategy for managing moderate anemia in pregnancy compared to oral iron and should be considered as first-line therapy. Furthermore, adherence to therapy is a crucial factor influencing the success of intravenous iron. Therefore, concerted efforts aimed at improving treatment adherence are recommended.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strengthening Healthcare Professionals' Understanding and Practices in Medical Device Postmarket Surveillance: Key Insights from Shukla et al . 加强医疗保健专业人员对医疗器械上市后监管的理解和实践：来自Shukla等人的关键见解。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_1374_24

Arumugam Porselvi, Sumedha Saxena, Polu Picheswara Rao

引用次数: 0

Unseen Risks: Visual Field Loss and the Broader Public Health Burden of Falls in Adults. 看不见的风险：视野丧失和成年人跌倒带来的更广泛的公共卫生负担。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_101_25

Haewon Byeon

引用次数: 0

Ovarian Cancer Mortality Trend in Montenegro, 1990-2018. 黑山1990-2018年卵巢癌死亡率趋势。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_1209_24

Mirjana Nedovic Vukovic, Marina Jakšic, Dragan Lauševic, Ljiljana Vuckovic, Aleksandra Vuksanovic Božaric

{"title":"Ovarian Cancer Mortality Trend in Montenegro, 1990-2018.","authors":"Mirjana Nedovic Vukovic, Marina Jakšic, Dragan Lauševic, Ljiljana Vuckovic, Aleksandra Vuksanovic Božaric","doi":"10.4103/ijph.ijph_1209_24","DOIUrl":"https://doi.org/10.4103/ijph.ijph_1209_24","url":null,"abstract":"Background: Ovarian cancer was one of the leading causes of cancer deaths among women. This cancer is difficult to diagnose early since there is no public screening program for early identification, which results in low survival rates. This study aimed to investigate trends in ovarian cancer mortality from 1990 to 2018 in Montenegro, using regression techniques.Objectives: Data on ovarian cancer mortality in Montenegro from 1990 to 2018 were collected.Materials and methods: Mortality rates were age-standardized to the World Standard Population to estimate overall and age-specific trends. To find the changes in the ovarian cancer mortality trend over time, joinpoint, linear, and Poisson regressions were used.Results: Resuming the period from 1990 to 2018, 418 women in Montenegro died from ovarian cancer. The average number of deaths per year was 14.4, and the average age-standardized rate was 3.0/100,000. Joinpoint regression identified consistently increasing ovarian mortality rates with an average annual percentage change (AAPC) of 1.9% (AAPC [95% confidence interval (CI)]: 1.9 [0.6-3.3]). Moreover, the number of cases increases by an average of 3.5% per year (AAPC [95% CI] =3.5 [2.2-4.7], P < 0.001). The highest rates were recorded in the age group of 75-84 years (16.4/100,000) and the age group of 65-74 years (14.3/100,000).Conclusion: The explanation for the rise in ovarian cancer mortality in Montenegro is unknown. However, this study emphasizes the significance of paying greater attention to ovarian cancer and undertaking additional research to discover the underlying causes of this unfavorable trend.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Antepartum Psychosocial Stress on Pregnancy Outcomes - A Prospective Study from a Developing Country. 产前社会心理压力对妊娠结局的影响——一项来自发展中国家的前瞻性研究。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_240_25

Akshaya Murali, Jayashree Kanavi, Shazia Tajneen, Steevan Sebastian Vathukadan

{"title":"Impact of Antepartum Psychosocial Stress on Pregnancy Outcomes - A Prospective Study from a Developing Country.","authors":"Akshaya Murali, Jayashree Kanavi, Shazia Tajneen, Steevan Sebastian Vathukadan","doi":"10.4103/ijph.ijph_240_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_240_25","url":null,"abstract":"Background: Psychosocial stress in pregnancy can cause interference in the maternal-fetal immunological system, which can have both short- and long-term implications. The presence of a standard screening process leads to early initiation of counseling and psychiatry referral in severe conditions.Objectives: The objective of this study was to develop a specific scoring system to categorize women into different grades of psychosocial stress, thereby determining its impact on outcomes and risk of postpartum depression (PPD).Materials and methods: This prospective cohort study was conducted in a tertiary care hospital in South India. The study recruited 226 participants after taking the institute's ethical clearance. A novel validated questionnaire based on 25 stressors was administered antenatally, and pregnancy outcomes were documented. Receiver operating characteristic curves were used to assess the predictability of adverse maternal-fetal. P < 0.05 was considered statistically significant. Youden's index was calibrated to identify a scoring cutoff to predict adverse outcomes.Results: A higher level of maternal education was associated with increased levels of maternal stress ( P < 0.001). Elevated stress scores were associated with increased risk of preeclampsia ( P = 0.05), composite adverse maternal outcomes ( P = 0.014), and fetal outcomes ( P = 0.016) later in pregnancy. The optimum cutoff stress score to identify risk of adverse outcomes was identified as 7.5, whereas the risk of PPD is increased with stress score levels above 6.5. A higher level of stress score was associated with increased risk of PPD ( P < 0.001).Conclusion: The novel prenatal stress scoring system is a good predictor of adverse maternal and perinatal outcomes in a low-middle-income hospital setting.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflections on Implementation of a Menstrual Literacy Curriculum at a School in Kolkata, India. 印度加尔各答一所学校实施月经识字课程的思考。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_299_26

Kalpana Gopalkrishnan, Aninda Das

引用次数: 0

Rural-urban Disparities in Child Malnutrition in India: Evidence from National Family Health Survey-5 Using the Composite Index of Anthropometric Failure. 印度儿童营养不良的城乡差异：来自全国家庭健康调查的证据-使用人体测量失败的综合指数。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_115_25

Sagarika Dey, Avijit Debnath, Shanku Paul

{"title":"Rural-urban Disparities in Child Malnutrition in India: Evidence from National Family Health Survey-5 Using the Composite Index of Anthropometric Failure.","authors":"Sagarika Dey, Avijit Debnath, Shanku Paul","doi":"10.4103/ijph.ijph_115_25","DOIUrl":"https://doi.org/10.4103/ijph.ijph_115_25","url":null,"abstract":"Background: Eradicating malnutrition among children by the year 2030 is a key objective of Sustainable Development Goals adopted by the UNDP. However, child malnutrition continues to pose a pressing public health concern in India, with malnutrition indicators being far above acceptable limits. The challenge of addressing the problem is further compounded by significant disparities in the levels of under-nutrition among under-five children across rural and urban areas. Understanding the extent and the contributing factors to these disparities are important for designing effective policies and targeted interventions.Objectives: The study aims to explore the rural-urban disparities in child malnutrition in India as demonstrated by the composite index of anthropometric failure, a combined measure that incorporates multiple anthropometric indicators.Materials and methods: The study uses the unit level data from National Family Health Survey-5, 2019-2021 and employs the Fairlie decomposition technique to determine the relative contributions of various factors, including individual, maternal and socio-economic status, to the rural-urban malnutrition gap.Results: The findings reveal that mother's health and education are the key factors contributing to the gap, accounting for about 37.4% and 29.3%, respectively, of the total variance.Conclusion: The results emphasize the importance of targeted interventions that focus on socio-economic and maternal factors to bridge the disparities.","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Journey of Hope to Stroke Patients: Need for Enhancing Mobile Stroke Unit Services. 中风病人的希望之旅：需要加强流动中风单位服务。

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_379_26

C M Krishna, B B Darshan, V Mahesh

引用次数: 0

Urban-rural Disparities in Modifiable Behavioral and Metabolic Risk Factors of Noncommunicable Diseases: Insights from a Hilly Region of North India. 非传染性疾病可改变的行为和代谢危险因素的城乡差异：来自印度北部丘陵地区的见解

IF 0.9 4区医学

Indian journal of public health Pub Date : 2026-07-29 DOI: 10.4103/ijph.ijph_260_25

Anupam Parashar, Anmol Kumar Gupta, Prem Lal

引用次数: 0