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{"title":"Utilization and Satisfaction of Beneficiaries Regarding Take Home Ration Provided At Urban Anganwadis of Ahmedabad, Gujarat","authors":"Ashadevi Sisodiya, Fatema Kachhawala, A. Shukla","doi":"10.51957/healthline_448_2022","DOIUrl":"https://doi.org/10.51957/healthline_448_2022","url":null,"abstract":"Introduction: Nutrition is fundamental to human health and development. The Take Home Ration (THR) program provides fortified rations for 6 months to 3 years normal children and severely underweight children up to 6 years, adolescent girls, pregnant women, lactating women through Anganwadis (AW). The National Nutrition Missions have targeted to decrease under nutrition by 3% each year. Present study was conducted with an objective was to assess the utilization and satisfaction level of beneficiaries regarding THR and to identify challenges faced by AWW related to THR. Method: A cross-sectional study was conducted at 40 Aanganwadis situated in the urban field practice area of the institute. Interview of all the (40) Anganwadi workers were conducted regarding implementation of THR Program. For assessing the utilization and satisfaction regarding THR, total 200 beneficiaries were selected from five different groups viz; 6 months to 3-year children, severely underweight children up to 6 years, Adolescent girls, Pregnant women and lactating women. Purposive sampling was used for selection of beneficiaries considering availability of beneficiaries at the time of study. Frequency and percentages were calculated for quantitative data. Results: Knowledge of AWW regarding THR scheme was good. Out of 200 beneficiaries, 97.5% beneficiaries were obtaining THR packets from anganwadis, out of which 66% beneficiaries were using them regularly. Around 36% of beneficiaries weren’t satisfied with THR provided to them. Major challenges faced by beneficiaries were: Lack of variety, not possible to make separate food items from THR due to time constraints and lack of knowledge.Conclusion: Utilization of THR among beneficiaries was not satisfactory. Most of the beneficiaries were disappointed with taste of the THR. Beneficiaries strongly recommended for improvement in taste and flavour. Awareness regarding THR scheme was satisfactory among AWW. Biggest challenge faced by AWW was to convince beneficiaries regarding intended benefits of THR and regular usage of the same.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46765123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of Accredited Social Health Activist (ASHA) Workers Regarding Maternal Health Services: A Comparative Study between Rural and Urban Areas of a Block of Haryana","authors":"Seema Sharma, Amit Kumar, Divyae Kansal, S. Kumari, S. Pandey","doi":"10.51957/healthline_436_202","DOIUrl":"https://doi.org/10.51957/healthline_436_202","url":null,"abstract":"Introduction: All people, everywhere, deserve the right care, right in their community. In any community,maternal mortality ratio strongly reflects the overall effectiveness of health systems. To increase utilization of existing health services, Accredited Social Health Activist (ASHA) is the key component of the National Rural Health Mission. The present study was planned with objective-to assess & compare the level of knowledge of ASHA workers regarding maternal health services in between rural and urban areas of a block of Haryana. Method: The present cross-sectional, community-based study was conducted in block Barwala, district Hisar of Haryana. The assessment of knowledge of ASHA workers was done on the basis of scoring. Appropriate statistical tests like percentages and chi-square (χ2) test were applied. Result: Regarding maternal health services majority of ASHA workers had good knowledge, assessed by score gained by them and none of them was having poor knowledge about maternal health services. However in rural area score gained was better than urban area & the observed difference was found to be statistically significant. Knowledge of identification & treatment of anaemia and identification of danger signs during pregnancy were inadequate among ASHA workers of both areas. Conclusion: Knowledge of ASHA workers was inadequate as far as anaemia and danger signs during pregnancy were concerned. Frequent and regular refresher training should be organized in their working area.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42210642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-Sectional Study on Determinants of Career Choice Preferences among Undergraduate Medical Students at One of the Medical Colleges of Gujarat, India","authors":"Chikitsa D. Amin, Dharti Kansagra, Vilpa Tanna","doi":"10.51957/healthline_461_202","DOIUrl":"https://doi.org/10.51957/healthline_461_202","url":null,"abstract":"Introduction: Choosing a medical specialty is a life-defining decision for medical students. As medical students progress through medical course, it is observed that their interests in specialties change due to one reason or another. Objectives: 1.To assess career choices for post-graduation among under graduate medical students. 2. To determine the factors influencing the carrier choices of study participants. Method: A cross sectional study was conducted among 594 MBBS students of one of the Government Medical Colleges of Gujarat during December 2019 to March 2020. All undergraduate medical students except student from 1st year MBBS was enrolled in the study by purposive sampling. A self-administered pretested, semi-structured questionnaire was utilized to collect socio demographic variables, their choice of post-graduation subject and reasons for the same. Descriptive statistics such as mean, standard deviation (mean ± SD) and percentage were calculated. Chi square test was applied for statistical analysis. Results: Out of 594 participants studied, 375 (63.1%) were males and 219 (36.9%) females. Most preferred specialties were medicine 138(24.7%) and general surgery 60(10.7%)among all students. Obstetrics and Gynaecology 34(75.6%) and Community Medicine 2(59.0%) were preferred by females while General Surgery 51 (85.0%) and Orthopaedics 20 (87.0%) were more preferred by males as a career. This difference proved to be statistically significant(p < 0.05). The distribution by years with different specialties shows statistically significant differences with Medicine, Dermatology, Paediatrics, ENT, Ophthalmology and Others. Personal interest was most valued influencing factor among184 (31.0%) followed by job opportunities 111 (18.7%) and the least popular factor was financial reasons 17 (2.9%). Conclusion: The majority of the students planned to specialize in clinical fields such as medicine and surgery. Most common factors influenced their choices were personal interests and career opportunities in the preferred fields. Financial reasons or the influence of the role model were least important factor as far as carrier choice of medical undergraduates was concerned.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43550766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delay in Diagnosis of Stomach Cancer patients attending a Tertiary Care Hospital in Kashmir: a Hospital Based Cross Sectional Study","authors":"T. Qazi","doi":"10.51957//healthline_414_2022","DOIUrl":"https://doi.org/10.51957//healthline_414_2022","url":null,"abstract":"Introduction: The incidence of cancer is increasing throughout the world. However, early detection of cancers is associated with a favourable outcome. Stomach cancer is one of the most common cancers of gastrointestinal tract. Majority patients visit physicians in developed stages. Objective: To evaluate the reporting pattern of stomach cancer patients living in Kashmir valley in order to determine the median time of delay from the beginning of symptoms to diagnosis. Method: Total 116 proven stomach cancer patients were evaluated for the pattern of presentation at endoscopy laboratory of Super Speciality Hospital, Shireen Bagh Kashmir from April 2019 to September 2020.Results: In this study, the mean age (SD) of participants was 60.22 ± (11.90) years. Majority of the participants (69.8%) were males. Cases were predominantly from the rural area (58%).Only 15.5 % of the cases were diagnosed within one month of their symptoms while as 3.4% of the cases had a total delay of more than 12 months. The study found a considerable total delay in the diagnosis of stomach cancer. The mean of the patient delay was 45.6 days. The median total delay was 20 weeks. Conclusion: Since stomach cancer has high mortality and morbidity rates associated, creating awareness among the population and training of physicians regarding timely referral of patients seems important.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49544025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Immunization: A Neglected Domain","authors":"S. Mangal","doi":"10.51957/healthline_463_2022","DOIUrl":"https://doi.org/10.51957/healthline_463_2022","url":null,"abstract":"“Long Life for All” being the theme for this year’s World Immunization Week 2022, celebrated annually in the last week of April (24 to 30th April) aims to unite people on the idea that vaccines make it possible for people to pursue their dreams, protect loved ones and live a long and healthy life. It aims to highlight the collective action needed and to promote the use of vaccines to protect people of all ages against disease. Immunization is one of the world’s most successful and cost-effective health interventions available to avert vaccine preventable diseases and deaths. Since at least the 1400s, people have looked for ways to protect themselves against infectious disease. From the practice of “variolation” in the 15th century to today’s mRNA vaccines, immunization has a long history.For over two centuries, vaccines have helped in keeping people healthy starting from the first vaccine that was developed to provide protection against smallpox to the latest ones that are being used to prevent COVID-19.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41971257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study on Depression Experienced by Information Technology Professionals in a Private Company at Chennai, Tamil Nadu, India","authors":"Pricella Simaon, Anjugam Sugavanam, Charumathi Boominathan, Gomathy Parasuraman, T. Jain","doi":"10.51957/healthline_429_2022","DOIUrl":"https://doi.org/10.51957/healthline_429_2022","url":null,"abstract":"Introduction: In the past 30 years, there had been more than 916 Information Technology (IT) providers registered with National Association of Software and Service companies. Career in the IT field warrants struggles with deadlines, working at odd and long hours and poor inter-personal relationships all affecting the mental wellbeing of workers. Objective: To assess the levels of depression and its associated factors among IT Professionals. Method: A cross sectional study, among 170 IT professionals in Chennai. Interview was conducted collecting socio demographic details and Patient Health Questionnaire (PHQ - 9) was used to assess the depression levels. Descriptive statistics were computed for background variables. Association between various factors and levels of depression were analyzed using chi square test. Multiple logistic regression was performed to identify independent risk factors. Results: Among the participants, majority 83 (48.8%) were between 21 – 30 years and 95 (55.9%) had work experience > 5 years. Most of them worked on day shifts 105(61.8%). A total of 60 (35.3%) participants had mild and 46 (27%) participants had moderate depression level. These risk factors when compared with depression, it was found that age, gender and working years were found to be significant. (p<0.05). Conclusion: In present study, 2/3rd of the participants had mild to moderate depression levels. It is necessary to increase the active depression management counseling services.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42499421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study of Determinants of Low Birth Weight in Newborns Delivered at One of The Tertiary Care Hospitals in Saurashtra Region, Gujarat","authors":"H. Patel, J. Mehta, Rohit V. Ram, Dipesh V. Parmar","doi":"10.51957/healthline_458_2022","DOIUrl":"https://doi.org/10.51957/healthline_458_2022","url":null,"abstract":"Introduction: Birth weight is one of the most important criteria for determining neonatal and infant survival and is considered a sensitive index of the nation’s health and development. The World Health Organization (WHO) defines low birth weight (LBW) as “Birth weight less than 2500 grams” regardless of gestational age, the measurement being taken preferably within the first hour of life. Objectives:1)To estimate the prevalence of LBW among sample population at tertiary care hospital.2)To study the distribution of newborns, according to socio-demographic characteristics of the mother and its association with LBW. Method: A hospital based cross-sectional study was carried out among 500 newborns between December 2020 and November 2021. Participants were selected by systematic random sampling technique. The data were collected from the case file and face-to-face interview. Both descriptive and inferential statistics were used in the analysis. Results: Prevalence of low birth weight was 29.2%. Majority 271 (54.2%) of newborn mothers’age group was between 21 to 25 years. More than half 272 (54.4%) newborns were from mothers who studied up to primary level education and more than three forth 389 (77.8%) were from mothers who were housewives. Majority 293 (58.6%) of newborns were from the urban area, around three forth 382 (76.4%) newborns were Hindu andnearly two fifth 194 (38.8%) newborns belonged to lower middle class. Prevalence of low birth weight was significantly higher in mothers aged>35 and ≤20, who were illiterate, doing labour work and belonging to lower socio-economic class. Conclusion: The prevalence of Low Birth Weight was 29.2% among sample population. Socio-demographic variables like maternal age >35 years and ≤20 years, illiteracy, labour work and lower socio-economic class had shown significant risk for delivering Low Birth Weight babies.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46246423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Learning Program for Third Year Professional Students at a Medical School of India","authors":"S. Misra","doi":"10.51957/healthline_415_2022","DOIUrl":"https://doi.org/10.51957/healthline_415_2022","url":null,"abstract":"Introduction:Though, Medical Council of India had recommended introducing horizontal and vertical integration, an integrated approach to teaching medical subjects has not become popular in Medical Colleges in India.Objective: To develop, implement, and evaluate an Integrated Learning Program for the third-year professional students at a medical school in India.Method: The integrated learning programme (ILP) was conducted for the first time in 2016 for a batch of 181 third year professional students of a Medical School in Western India. It was an integrated module employing correlation and vertical integration. It incorporated Interactive Lectures, Videos, Self-study, Clinical Visits and Home Visits. Student assessment was formative using pre and post MCQ test and case presentation through checklists to assess clinical skills and home visit skills. Evaluation of the programme was based on feedback from the students and faculty members and report prepared by the students. Results: The mean score of students in the knowledge domain assessed through Multiple Choice Questions (MCQs)for ILP on Iron Deficiency Anemia conducted at the end of the ILP was statistically significantly (P=0.022). The feedback from faculty members and students was positive, highlighting benefits of ILP as; integrated learning of the basic sciences, their application to clinical cases and active student learning. Few challenges were also identified like higher input required from faculty members. Most of the faculty members and students recommended that the integrated programme should be continued and extended to other parts of the curriculum.Conclusion: The study findings conclude that an integrated learning programme is beneficial and is likely to improve quality of health care provided to the patients. It is feasible within a conventional medical curriculum of an Indian Medical School.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45326392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Headphone/Earphone Usage Practices and its Health Effects among College going Students: A Cross-Sectional Study from South India","authors":"Ramya M R, Geetha M","doi":"10.51957/healthline_394_2022","DOIUrl":"https://doi.org/10.51957/healthline_394_2022","url":null,"abstract":"Introduction: Noise induced hearing loss is one of the most common public health problems occurring due to use of headsets.The usage of earphone/ headphone has been increasingly used in the recent times due to online learning. Objective: To determine the usage practices of headphone/earphone and associated effects among college students of Tamil Nadu.Method: A cross-sectional study was conducted among college students in Tamil Nadu from January to February 2022. Snowball sampling technique was used, and 640 students respondedto a pre-tested semi-structured questionnaire circulated through online platform. Results:Out of 640 students, 57.1% were female students, 71.5% students used earphones for less than 5 hours, 32.5% students cleaned earphone daily, 46.6% didn’t share their earphone, whereas 83.1% of students experienced at least one symptom or sign on using earphone. Conclusion: Due to online learning, earphone usage and its effects was increased among students in our study, so awareness about rational use of earphones is much needed among the younger generations.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44833995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Lived-In Experience and Psychological Recount of Dog Bite Victims Visiting the Anti-Rabies Clinic in Kashmir: A Qualitative Study","authors":"Khalid Bashir, Z. Kausar, S. Khan, I. Haq","doi":"10.51957/healthline_407_2022","DOIUrl":"https://doi.org/10.51957/healthline_407_2022","url":null,"abstract":"Introduction: There is a necessitated need for canvassing and prioritizing measures towards rabies elimination beyond existing statuesque post-exposure prophylaxis. Moreover, there is a need to characterize the psychological and intrusive experiences of dog-bite victims to portray a picture beyond the public health perspective. Objective: To get an expressive understanding of the psychological and lived-in experience of dog bite victims' to complement existing concepts. Method: The study was conducted at the anti-rabies clinic(ARC) of SMHS hospital which receives animal bite cases from the whole of Kashmir valley. Participants were selected purposefully based on the inclusion criteria, and data saturation was reached with eleven participant interviews. One to one in-depth interviews were conducted with eleven (11) dog bite victims, using a preformed interview guide. Data analysis was performed using Colaizzi's phenomenological method to describe the individualistic experiences faced in peculiar conditions with familiar phenomena embedded in them. Results: Data analysis yielded three overarching themes and nine subthemes viz:-1.Spiritual and emotional ineffectualness. (Suffering and affliction, Spiritual sulkiness, Emotional emergence) 2. Flashbacks of being hindered and defenseless. (Lack of focus in one's work, lacking the courage to protect, Being shaky)3. Social and economical implications. (Financial loss, group and peer detachment, preferring isolation) Conclusion: The results of this study showed that dog bite patients experience an unpleasant phenomenon in the face of being bitten by the dogs and are subjected to severe psychological pressures that require attention and support of medical professionals, psychologists and government authorities.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49351457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}