Background:Pregnant women inhabiting urban slums are a “high risk” group with limited access to health facilities. Hazardous maternal health practices are rampant in slum areas. Barriers to utilization of health services are well documented. Slums in the same city may differ from one another in their health indicators and service utilization rates. The study examines whether hazardous maternal care practices exist in and whether there are differences in the utilization rates of health services in two different slums.Materials and Methods:A cross-sectional study was carried out in two urban slums of Aligarh city (Uttar Pradesh, India). House-to-house survey was conducted and 200 mothers having live births in the study period were interviewed. The outcome measures were utilization of antenatal care, natal care, postnatal care, and early infant feeding practices. Rates of hazardous health practices and reasons for these practices were elicited.Results:Hazardous maternal health practices were common. At least one antenatal visit was accepted by a little more than half the mothers, but delivery was predominantly home based carried out under unsafe conditions. Important barriers to utilization included family tradition, financial constraints, and rude behavior of health personnel in hospitals. Significant differences existed between the two slums.Conclusion:The fact that barriers to utilization at a local level may differ significantly between slums must be recognized, identified, and addressed in the district level planning for health. Empowerment of slum communities as one of the stakeholders can lend them a stronger voice and help improve access to services.
of 85.2% (95.0% CI 81.9% to 88.4%) participants affirmed that they could move with a deformed leper to the market or church. 71.5% (95.0% CI 67.5% to 75.5%) participants stated that they could offer a job to a deformed leper. Conclusion The high proportion of positive attitudes among the participants and in different divisions is a positive indicator that the elimination of leprosy social stigma is progressing in the right direction. Results Countryside areas and shopping centers had significantly the most extensive spatial clusters of knife violence (p<0.001). In summer season, there was different pattern in the clusters of the knife assaults in parks and recreation centers at hours of 19:00 to 3:00, which these data were added to the clusters of the other seasons. Considering space-time and socio-demographic status, teenagers and young single males were commonly as the victims of knife assaults in mentioned areas (p¼0.04). Conclusion There is sufficient evidence about existence of knife stabbing violence clusters in Urmia. Understanding that, which areas of city have the high rates of the crime occurrence, provides potentially a unique opportunity for regional planners and policy makers by GIS (Geographic Information System)/GPS (Global Positioning System). Introduction The earthquake that hit Padang West Sumatra, Indonesia on 30 September 2009, extremely devastating one, registering 7.6-magnitude on the Richter scale. The destruction of health infrastructure and the displacement of population following the earthquake have increased the need of support with regard to the reproductive healthcare services in all health facilities. On the other hand, it has been demonstrated that providing reproductive health services is pivotal and especially to improving family planning during the earthquake. Methods A community health center-based study was conducted to assess and examine the methods of contraception used contraception used before and within 1 year after the 2009 Padang earthquake. In total, 550 married women aged 15e49 years old participated. SP5-21 SP5-22 THE ASSESSMENT OF CONTRACEPTIVE METHODS FOLLOWING THE 2009 PADANG EARTHQUAKEResults The study found difference in the utilisation of contraceptive methods before and after the earthquake. Within 1 year of the earthquake, use of condom significantly increased after the earthquake and the percentage of participants who used injections and implants tended to decrease. When compared before and after the earthquake, availability, affordability and acceptability of services in access to family planning services showed significantly affected by the earthquake. Conclusion The earthquake affected to access in the utilisation of contraceptive methods. Availability, affordability and acceptability of services in access to family planning services were important to improving family planning during the earthquake situation.
Background: We aimed to investigate the safety of endovascular procedures undertaken in a single outpatient center located in a rural, underserved area. Endovascular procedures for Peripheral Arterial Disease (PAD) have become increasingly common in outpatient settings; their safety is yet to be determined in a rural, underserved area with no stand-by vascular surgeon on site. Methods: We undertook a retrospective case review of endovascular procedures for the investigation and management of lower extremity PAD between December 2012 and August 2015. Patients were classified by Rutherford score, degree of stenosis and length of lesions. Complications were major (requiring hospitalization) or minor, including perforation, distal embolization, hematoma, and allergic reactions, which could be treated immediately in the catheterization laboratory with no sequelae. Patients were monitored in the facility and followed up using clinical, biochemical and radiological parameters at 24 h and 1 month. Results: A total of 692 patients underwent endovascular procedures for the investigation and/or treatment of PAD, of which 608 were interventional. Of these patients, 10.20% experienced procedural complications, of which 0.66% were classified as major, including wire retention and retroperitoneal hemorrhage. In total, 99.34% were discharged safely on the same day as the procedure. No adverse events were reported at follow up. Conclusion: Endovascular procedures for PAD can be performed safely in a rural outpatient setting with low complication rates. Most complications are minor and do not require hospitalization. Outpatient procedures for PAD are safe and may widen access to specialist procedures in areas of socio-economic deprivation.
Introduction: High blood pressure is the commonest risk factor for cardiovascular disease and is a major contributor to avoidable death and disease in India. The present study was carried out with an objective to study the prevalence of hypertension and prehypertension and sociodemographic correlates in rural and urban areas. Materials and Methods: The present community based cross sectional study was conducted in the field practice areas of the
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