Journal of Family Medicine and Primary Care最新文献

{"title":"A prospective study identifying breast-feeding problems in lactating mothers in a tertiary care hospital.","authors":"Jayshree J Upadhye, Smita K Parate, Aditi J Upadhye, Rasika Dilip Zade","doi":"10.4103/jfmpc.jfmpc_1267_24","DOIUrl":"10.4103/jfmpc.jfmpc_1267_24","url":null,"abstract":"<p><strong>Background: </strong>There are numerous benefits of breastfeeding for mothers and babies and the community. However, many mothers discontinue breastfeeding because of the problems they encounter. The objective of this study was to find out the problems feeding mothers frequently face in the first 6 months after delivery and if feasible, correct them.</p><p><strong>Material and methods: </strong>300 postpartum mothers took part in a prospective study from July to December 2023 at a tertiary care center.</p><p><strong>Results: </strong>In the present study, 135 (45%) subjects had delivery by cesarean section, 15 (5%) had an operative vaginal delivery, and 150 (50%) had a vaginal delivery. Sixty-six (22%) subjects initiated breastfeeding the baby within 2 hours of delivery; 213 (71%) subjects did it between 2 and 6 hours after delivery; 18 (6%) subjects did so between 6 and 24 hours after delivery. 216 babies (72%) had improper latching, 99 babies (33%) babies sleep while sucking, 24 babies (8%) had oral thrush, 27 babies (9%) had vomiting after feeding, 60 babies (20%) were low birth weight, while no baby (0%) had cleft lip. Eighteen mothers (6%) had sore nipples, 15 mothers (5%) complained of shooting pain during breastfeeding, 198 mothers (66%) had short or retracted nipples, 21 mothers (7%) had inadequate milk, 9 mothers (3%) had engorged breasts, while 3 mothers (1%) had mastitis.</p><p><strong>Conclusion: </strong>Improper latching due to short nipples is the most common problem. Education will minimize most of the feeding problems.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"560-564"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling mental health perspectives: Insights from key stakeholders including primary healthcare providers in a tribal District of Gujarat.","authors":"Shashwat Nagar, Hirenkumar B Patel, Noopur Nagar, Gaurangi Gamit, Naresh Godara","doi":"10.4103/jfmpc.jfmpc_1435_24","DOIUrl":"10.4103/jfmpc.jfmpc_1435_24","url":null,"abstract":"<p><strong>Context: </strong>Mental disorders impact over 25% of people worldwide, with a prevalence of 14.9% in India, higher in rural (17.1%) than urban (12.7%) areas. Effective treatment is limited, particularly in low- and middle-income countries. Integrating mental health into primary care and understanding stakeholder knowledge gaps are essential to improving services and reducing stigma.</p><p><strong>Objectives: </strong>This study qualitatively assessed the perspectives of primary healthcare providers and key stakeholders, such as PRI members, regarding common mental disorders in tribal and remote areas.</p><p><strong>Materials and methods: </strong>Fourteen in-depth interviews were conducted with primary care physicians, private practitioners, and PRI members, following written consent for audio recording. Two talukas were randomly selected, and two PHCs from each were chosen for data collection. Content analysis was used to identify themes and codes from the interview transcripts.</p><p><strong>Results: </strong>Interviews revealed varied perspectives on mental health. PRI members demonstrated limited understanding, often attributing mental disorders to supernatural causes or stress, and preferred traditional healers. They recommended increased involvement of NGOs and enhanced awareness. Primary care providers highlighted the need for better training, mental health OPDs, and improved access to treatment and medications, noting shortages in government facilities.</p><p><strong>Conclusions: </strong>Key themes included limited mental health knowledge, reliance on faith healers, and a need for enhanced training and awareness. Recommendations include improving mental health education, establishing dedicated clinics, increasing professional availability in rural areas, and shifting community attitudes through awareness campaigns and local volunteer training. Effective implementation requires robust government support and NGO collaboration.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"779-784"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of goiter and iodine deficiency among school children in North Kashmir: A cross-sectional study.","authors":"Shifana Ayoub, Khalid Bashir, Inaamul Haq, S Muhammad Salim Khan, Mariya Amin Qurieshi, Ishtiyaq Ahmad Sumji, Syed K Qadri","doi":"10.4103/jfmpc.jfmpc_1404_24","DOIUrl":"10.4103/jfmpc.jfmpc_1404_24","url":null,"abstract":"<p><strong>Background: </strong>Iodine deficiency disorders (IDDs) remain a significant public health challenge in developing countries, including India, where they contribute to goiter and other health impairments. Despite efforts to fortify salt with iodine, IDDs persist in regions like Kupwara, Kashmir, characterized by unique topography and socio-demographic diversity.</p><p><strong>Objectives: </strong>To assess the prevalence of iodine deficiency disorders among school-aged children in Kupwara district, Kashmir. To evaluate iodine content in household salt samples and urinary iodine concentration as markers of iodine deficiency.</p><p><strong>Methods: </strong>A community-based, cross-sectional study was conducted from March 22 to March 31, 2022, involving 2,700 children aged 6-12 years selected using population proportionate to size (PPS) sampling from 30 clusters in Kupwara. Clinical examination for goiter was performed following WHO guidelines. Household salt iodine content was assessed through iodometric titration, and urinary iodine concentration was analyzed using the Sandell-Kolthoff reaction. Ethical approval and informed consent were obtained.</p><p><strong>Results: </strong>Out of 2,700 children, 255 (9.44%) had Grade 1 goiter, and 17 (0.63%) had Grade 2 goiter, yielding a Total Goiter Rate (TGR) of 10.1%. Goiter prevalence was higher in females (11.2%) than males (9%). The highest TGR was observed in children aged 10 years (14.4%). Salt iodine content: 75% of samples contained 6.3 ppm iodine. Urinary iodine concentration: (1) 10.4% had mild-to-moderate iodine deficiency. (2) 12.3% exhibited adequate iodine intake. (3) 31.4% showed excess iodine levels.</p><p><strong>Conclusion: </strong>The study highlights a moderate prevalence of goiter in Kupwara, with iodine deficiency remaining a significant concern despite fortified salt usage. The findings underscore the need for strengthened monitoring and public health interventions targeting iodine deficiency, especially among school-aged children.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"713-719"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio demographic factors with clinical outcome among hospitalized patients in COVID-19 pandemic.","authors":"Harish Gupta","doi":"10.4103/jfmpc.jfmpc_1037_24","DOIUrl":"10.4103/jfmpc.jfmpc_1037_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"811"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' satisfaction with primary healthcare (PHC) services at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.","authors":"Sara F Alhinti, Bader A Altulaihi, Imad Abdulmajeed","doi":"10.4103/jfmpc.jfmpc_1531_24","DOIUrl":"10.4103/jfmpc.jfmpc_1531_24","url":null,"abstract":"<p><strong>Background: </strong>Patients' satisfaction is a significant indicator for healthcare quality and has been linked to better patient-provider relationship, better treatment compliance, and thus better overall healthcare outcome. Moreover, it allows healthcare leaders to recognize the unmet needs of patients and spot areas which require further improvement to make necessary changes. This study aims to measure the level of patients' satisfaction with primary health care (PHC) clinics at King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia, as well as to identify factors that influence it.</p><p><strong>Methodology: </strong>This is a cross-sectional observational study conducted at four major PHC clinics at KAMC. A total of 386 participants completed a modified prevalidated self-administered questionnaire. Forward-backward translation was performed to assess translation accuracy. A pilot study was performed on 20 participants before the official distribution of the questionnaire. Statistical analysis was done using SPSS version 23.0. Associations between patients' characteristics and satisfaction was assessed using the Chi-square test of proportion. A <i>P</i> value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Most of the respondents gave a positive rating when it comes to the time required to find an appointment (78.5%). In addition, the majority positively rated their consultation with the primary care doctor. For supportive services, higher satisfaction was observed for radiology and pharmacy services compared to laboratory services. Among patients who experienced a virtual consultation, 77.4% positively rated their experience. Gender, age, area of residence, having chronic conditions, as well as the number of PHC visits per year were found to be significantly associated with the overall satisfaction.</p><p><strong>Conclusion: </strong>Satisfaction with PHC centers at KAMC is excellent when it comes to accessibility, consultation experience, and overall service. Satisfaction with laboratory wait time and staff adequacy was lower compared to other supportive services which indicates a need for further improvement in this area.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"699-705"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An online survey on the association between the use of alcohol-based hand sanitizer and dermatitis in the Jizan Population.","authors":"Mona H El-Mahdy, Nada M Makeen, Zenat A Khrid, Khawla Mohammed Modawi, Maram Abdullah Sayegh, Amnah Hussain Hamrani, Anisah Mohammed Humedi, Shumokh Fawaz Juraybi, Sharifah Abdulrahman Someli, Shatha Ahmed Darbashi, Wafa Mohammed Busayli","doi":"10.4103/jfmpc.jfmpc_359_24","DOIUrl":"10.4103/jfmpc.jfmpc_359_24","url":null,"abstract":"<p><strong>Background: </strong>Frequent use of alcohol-based hand sanitizers during the COVID-19 pandemic can cause skin irritation and dermatitis due to the removal of natural skin oils. This survey aims to assess the association between alcohol-based hand sanitizer use and dermatitis prevalence among the residents of Jizan, Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional study was conducted using an online survey distributed between September and December 2021. The survey collected data on hand sanitizer usage patterns, dermatitis symptoms, and sociodemographic characteristics of 500 randomly selected Jizan residents aged ≥18 years. Associations between sanitizer use variables and dermatitis occurrence were analyzed using Chi-square and exact probability tests for instances with low frequencies.</p><p><strong>Results: </strong>The majority were 347 (69.4%) females, with a mean age of 23.6 ± 11.8 years. A total of 402 (80.4%) used sanitizers, increasing to 395 (79%) during the pandemic. Dermatitis symptoms were reported in 138 patients (27.6%) after sanitizer use. Using sanitizers >6 times daily was associated with 71.4% a dermatitis prevalence of 47.4% versus <3 times daily (<i>P</i> = 0.003). The use of 80-95% alcohol gels was linked to 68.8% dermatitis versus other products (<i>P</i> = 0.001). The common symptoms included skin roughness (55.4%), itching (46.5%), and redness (37.6%). Onset was immediate (23.3%) and within hours or days (28.2%).</p><p><strong>Conclusions: </strong>This study demonstrated a clear association between frequent or high-concentration sanitizer use and increased dermatitis prevalence among Jizan residents. Public awareness campaigns and product guidelines are needed to promote proper usage of techniques that balance hygiene and skin health. Future research should explore effective prevention strategies, such as moisturizer combinations or lower risk alternatives.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"533-540"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the causes associated with false positive Galactomannan assay in suspected cases of respiratory fungal infections.","authors":"Parul Garg, Shipra Suyal, Desh Deepak, Sneha Hembrom, Ankit K Chauhan, Nirmalajit Kaur, Shalini Malhotra","doi":"10.4103/jfmpc.jfmpc_1496_24","DOIUrl":"10.4103/jfmpc.jfmpc_1496_24","url":null,"abstract":"<p><strong>Introduction: </strong>The circulating GM antigen is considered an important and reliable biomarker according to the European Organization for Research and Treatment of Cancer/Mycosis Study Group (EORTC/MSG) guidelines. However several possible causes of false-positive reactions have been reported, including intake of certain antibiotics, cross-reactivity with other fungi (e.g. Histoplasma capsulatum, Alternaria spp., Candida spp, and Fusarium spp etc), food (Carba beans and fava beans) and food supplements. In this context, the occurrence of false-positive results may lead to an unjustified invasive investigation and anti-fungal therapy.</p><p><strong>Purpose: </strong>The study was conducted to analyse of causal association of false positive galactomannan factors.</p><p><strong>Material and methods: </strong>BAL samples from suspected respiratory tract infections were submitted for direct microscopic examination, GM detection and fungal culture.</p><p><strong>Results: </strong>Out of a total of 530 patients, 70 patients were in the case group (False positive GM) and 50 were in the control group (True positive). The average GMI of the case group was 2(1-4.2). and control group was 1.8(1-3.5). At a cut-off index of >1 false positive galactomannan results were observed maximum in patients who received Amoxiclav(48.5%), Piperacillin-tazobactam(33.3%), Amoxicillin(12.5%) followed by Meropenem(8.3%). The results showed a significant association(p-value <0.001) with false positive GM.. Other fungal agent colonization also had a higher GM index in the BAL sample but it is difficult to comment on association as the odds ratio was low (0.187). The odds were also lower (0.167) in dietary history to get false positive results and similarly with those on dietary supplements, but in contrast to these findings it was seen that the odd ratio was higher in patients suffering from tuberculosis(3.777) which can be attributed to increased colonization of aspergillus in TB patients.</p><p><strong>Conclusion: </strong>Galactomannan is the key biomarker of whether to start antifungal therapy for patients with IA and a higher mortality risk. Test results should be critically interpreted in the clinical context concerning potential causes of false-positive findings, especially with concomitant Piperacillin-tazobactam and amoxiclav use, other fungal infections and dietary history to prevent unnecessary antimycotic treatment.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"736-742"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrochemical skin conductance to assess peripheral neuropathy in rheumatic diseases with or without type 2 diabetes using sudoscan.","authors":"Osama M I Mohamed, Nagwa M M Ali, Mohammed O Ibrahim, Dana Sarmini, Farah Ibrahim, Mariam Al Hosany","doi":"10.4103/jfmpc.jfmpc_1171_24","DOIUrl":"10.4103/jfmpc.jfmpc_1171_24","url":null,"abstract":"<p><strong>Introduction: </strong>Peripheral neuropathy (PN) occurs in diabetes mellitus. However, the association between PN and rheumatic disease (RD) has not been fully investigated. The aim of this study was to assess the prevalence of PN in patients with RDs with or without Diabetes Mellitus.</p><p><strong>Methods: </strong>A Cross-sectional cohort study, data extracted from patients medical records started in September 2023 to January 2024 in Abu Dhabi, UAE. A Sudoscan machine report was used to assess The electrochemical skin conductance (ESC), Sudomotor dysfunction is evaluated according to the ESC measured on the feet: >60 μS = no dysfunction; 60-40 μS = moderate dysfunction; and <40 μS = severe dysfunction.</p><p><strong>Results: </strong>Eighty-one patients with RDs, mean age 58 ± 12. There were 55 females (67.9%), and 26 males (32.1%) attended an ambulatory healthcare clinic in Abu Dhabi, UAE. Thirty-three (40.7%) had diabetes, while 48 (59.3%) did not have diabetes. The mean glycated haemoglobin A1c (HBA1c) was 7.4% in diabetic patients and 5.8% in non-diabetic patients Additionally, all patients had a mean blood pressure of 134/72 and a mean Body Mass Index (BMI) of 31.40 kg/m². Among the study patients, the most common RD was osteoarthritis, which affected 56.8% of the patients. The smallest percentage of patients with PN was found in those with IgG4, at 1.2%. The prevalence of Sudomotor dysfunction (ESC feet: <60 μS) was 72.8% in patients with RDs (all patients diabetic and non-diabetic), while the prevalence of sudomotor dysfunction (ESC feet: <60 μS) in RDs patients with diabetes was 75.8% and 70.8% in RDs patients without diabetes, there was no significant difference between in prevalence of sudomotor dysfunction in RD patients with diabetes compared to RD patients without Diabetes.</p><p><strong>Conclusion: </strong>Sudomotor dysfunction appears to be common among patients with RD regardless they have diabetes or not. This study recommends screening all RD patients for Sudomotor Dysfunction.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"226-231"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of mothers regarding infant's developmental milestones in four domains (gross motor, fine motor, language and personal and social) - A cross sectional study.","authors":"Pooja Thakur, Nalina Gupta","doi":"10.4103/jfmpc.jfmpc_40_24","DOIUrl":"10.4103/jfmpc.jfmpc_40_24","url":null,"abstract":"<p><strong>Background: </strong>In India, children with neurodevelopmental disabilities are being referred late. One of the possible reasons could be lack of mothers' knowledge regarding developmental milestones. Hence, the objective of this study was to assess the knowledge of mothers regarding infants' developmental milestones in four domains using a self-drafted questionnaire and to enlist the factors influencing mothers' knowledge if any.</p><p><strong>Methods: </strong>This was an observational study. The study was conducted using a questionnaire which was drafted, face-validated, and pilot-tested. The final drafted questionnaire was used for the data collection. The duration for data collection was June 2019 to November 2019; data were collected from Dhiraj General Hospital. Inclusion criteria of the study were mothers in the age range of 18-40 years and those who were willing to participate in the study. A total of 100 mothers were interviewed on one-to-one interview basis. Collected data were entered in Excel sheets and were analyzed using descriptive analysis.</p><p><strong>Results: </strong>73% mothers were aware regarding head holding in the gross motor domain, 61% mothers were aware regarding hand to mouth in the fine motor domain, 41% mothers were aware regarding bisyllables in the language domain, and 64% mothers were aware regarding when an infant starts waving bye-bye in the personal social domain.</p><p><strong>Conclusions: </strong>Mothers were more aware about the gross motor and personal-social milestones as compared to that of language and fine motor milestones. Our results cannot be generalized.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"45-50"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering India's fight against cervical cancer: Harnessing routine HPV immunisation.","authors":"Sudip Bhattacharya, Suneela Garg, K Madan Gopal","doi":"10.4103/jfmpc.jfmpc_678_24","DOIUrl":"10.4103/jfmpc.jfmpc_678_24","url":null,"abstract":"<p><p>Cervical cancer, driven by human papillomavirus (HPV) infection, presents a significant health challenge in India, marked by high morbidity and mortality rates among women. This systemic review synthesises the latest research on HPV epidemiology in India, evaluates the effectiveness of existing vaccination programmes and compares India's strategies with those of countries that have successfully mitigated cervical cancer burden. Despite available vaccines targeting high-risk HPV types, vaccine coverage remains suboptimal due to challenges, such as accessibility, vaccine hesitancy and socioeconomic barriers. Comparative analysis suggests that school-based and community engagement strategies could enhance vaccination efforts. Addressing India's cervical cancer burden requires a multifaceted approach that includes expanding HPV vaccination coverage, implementing public awareness campaigns and adopting best practices from global successes. Economic analyses affirm the cost-effectiveness of such strategies, highlighting the potential for significant public health and financial benefits.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"22-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}