Background: The mother’s milk is the best gift nature has provided. It is complete nourishment for babies. The World Health Organization (WHO) recommends that infants be exclusively breastfed for the first six months, followed by breastfeeding along with complementary foods for up to two years of age or beyond. Absence of remarkable progress in indicators of breastfeeding suggest that certain gaps still exist which restrict achievement of national development goals. These gaps could have resulted from unawareness and lack of knowledge regarding appropriate IYCF practices. Appropriate intervention in terms of awareness programmes may help in achieving the national development goals.Methods: A cross sectional hospital based study was conducted over a period of 3 months. Lactating mothers in post natal ward were questioned using self-administered breastfeeding knowledge questionnaire about their knowledge, attitude and practices of breastfeeding.Results: Total of 100 lactating mothers were enrolled. Majority of the mothers were in the age group of 20-25 years (72%), 65% of mothers were from rural area. only 27% mothers practiced initiation of breastfeeding after birth. 62% of mothers initiated breastfeeding after 30 minutes of birth. 10% mothers gave prelacteal feeds, honey was the most commonly given prelacteal feed. 90% of the mothers fed their baby colostrum. 90% of mothers knew that breast milk is ideal feed for newborn.Conclusions: The primary care givers need to implement strategies to educate mothers about breastfeeding in antenatal and post natal checkups to enhance good breastfeeding practice thereby reducing infant mortality and morbidity. A special strategy to reach out to poor socio economic status and illiterate mothers is need of the hour.
Background: The public health experts have coined the name ‘Modern Day Epidemic’ for accidents. Accidents especially domestic are a world-wide public health problem. The relationship between domestic accidents and human health is direct and associated with a chain of socio-economic consequences. The objectives were to study the magnitude and types of domestic accidents in the urban field practice area and to study the healthcare seeking behaviour following domestic accidents.Methods: A community based cross-sectional study was carried out during September 2016 - November 2016 in the urban field practice area of a Medical College in Davangere. A sample size of 2000 was covered by interviewing 366 households. By using pre-designed, pre-tested questionnaire information was collected on basic socio-demographic details, housing conditions, nature and timing of domestic accidents and the health care seeking behaviour.Results: The magnitude of domestic accidents was 5.2%, with falls being the most common domestic accidents (67.2%) occurring during the evening hours. Health seeking behaviour was found to be satisfactory.Conclusions: In our study the domestic accidents were more commonly found in the extreme age groups. Falls were the most frequent type of domestic accidents which occurred during the morning and evening hours, therefore there is a need for adequate lighting during evening hours to prevent dim light as well as proper designing of house to make it elderly and children friendly. The health education should be given regarding necessary safety precautions to reduce the occurrence of domestic accidents.
Background: Cervical cancer is fifth most common cancer worldwide and second most common cancer in women in India, with an incidence of 1,22,844 cases and accounts for over 67,477 deaths annually (GLOBOCON 2012). Although vaccines are available to prevent the cervical cancer there is lack of awareness regarding the same. Hence the present study has been proposed. The objective was to study the awareness of human papilloma virus (HPV) vaccination among the medical students.Methods: A cross-sectional study was conducted between September 2017 to December 2017 among the medical students. All those who gave consent were included and a predesigned, pretested proforma consisting of variables about demographic characteristics, HPV, vaccination and the other necessary information required for the study was collected.Results: 72.4% of the participants were aware of the HPV infection, 70.5% about the HPV vaccination and 69.5% of the participants thought that only females should be vaccinated. 52.3% of the participants expressed interest for vaccination. Interns had 100% awareness about the infection and vaccination. Students who were not interested in vaccination, 18.9% of them said they are not sexually active, 8.5% thought there was no need of vaccine, 6.1% felt vaccine is too expensive and 1.3% worried about the safety of the vaccine. Sources of information was mainly through lectures/textbooks (64.8%) followed by doctors/healthcare facility (20.9%).Conclusions: Study revealed appreciable level of awareness among the participants. With this study, the participants are encouraged to get vaccinated as the age group of participants is appropriate for the vaccination.
Background: Health insurance is also called as medical insurance offering coverage that pays for unexpected medical and surgical expenses to the policyholder. A health insurance plan is one of the most secured and safest way to provide financial coverage to the insured family. Objective of this study was to assess utilization, satisfaction, out of pocket expenses and to determine the health seeking behaviour of the insured residents of the rural field practice area of SSIMS and RC, Davanagere.Methods: The study was done in the rural field practice area of the medical college, Davangere from January 2016 to December 2016. A sample of 600 families were studied by systematic random sampling and data was collected from the head of the family using structured questionnaire by house to house interview. Statistical analysis was carried out by SPSS v10, percentages, proportions and Chi-square tests were applied to find the association among the variables.Results: The utilization of health insurance in the present study was 50.2% and satisfaction regarding the health insurance schemes was 93.4%.Conclusions: The study reveals that the out of pocket expenses is high among the uninsured families compared to the insured families. The Insurance policies should be revived to do favour the patients so that more families will be encouraged to enrol and utilize so that the out of pocket expenses will be reduced.
Background: In a health insurance program, people who have the risk of a certain event contribute a small amount (premium) toward a health insurance fund. This fund is then used to treat patients who experience that particular event (e.g., hospitalization). It is a form of risk management which is used primarily to hedge against the risk of a contingent, uncertain loss. Health is wealth. Therefore, the concept of health insurance (HI) has evolved which finances health care. Objectives of the study was to assess subscription of various health insurance schemes and factors influencing them in the rural field practice area of SSIMS and RC, Davanagere.Methods: The cross sectional study was conducted in the rural field practice area of SSIMS and RC, Davangere from May to July 2016. A sample of 600 families were visited by systematic random sampling and data was collected from the head of the family with informed consent using a predesigned, pretested questionnaire by house to house interview. Analysis was done by using SPSS v10 and were results presented as percentages and proportions.Results: The total subscription in the study was 69.3%, Yeshasvini co-operative farmers’ health scheme coverage was 84% followed by others. The factors determining the subscription were the amount of premium, lack of funds, lack of awareness, lack of comprehensive coverage, etc.Conclusions: The premium has to be customized so that all the patients are benefited irrespective of the type of HI.
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