Human immunodeficiency virus (HIV) is a subgroup of retrovirus causing HIV infection which if prolongs turns into a progressive failure of the immune system called as acquired immunodeficiency syndrome. It is commonly prevalent in Male Transgenders who are born male and disobeys the cultural defined social norms and identify themselves as a female. The objective was to assess knowledge, Attitudes and Practices of Transgender Community regarding Transmission of Human Immunodeficiency Virus in Lahore, Pakistan. A Descriptive Cross-sectional Survey was conducted in Nine Towns of Lahore. A sample size of 79 was calculated and data was collected in duration of 9 months. A self-administered survey-based questionnaire was developed using WHO and National AIDS control Programme guidelines followed and pilot tested. Data was collected after Informed consent.The mean age of Respondents was 29.56 ± 8.27 years with minimum and maximum age as 19 and 50. In this study the mean knowledge score of the transgender about HIV Transmission was 2.804±0.32, the mean score of attitudes of transgender were 3.25±0.19 and the mean practice score was 2.931±0.28.Majority of the transgender have insufficient knowledge, and bad attitude towards their health. They have unsafe sexual practice and Drug Interventions playing a significant role in HIV epidemic. Majority of them are uneducated, unemployed and found sex selling and dancing an easiest way of earning. Their knowledge about HIV screening, transmission, and antiretroviral therapy is low.
Menstruation is a normal physiological process unique to females. Pre-menarche is characterized by physiological, cognitive, and psychological transitions which may be initiated from the midst of their second decade. The onset of puberty/ menstruation in girls tends to change their role in society. Overall inadequate awareness levels accompanied by socio-cultural taboos and prevailing myths and misconceptions about menarche and menstruation have played havoc on human society. Objective: The main objective of the study is to diagnose and compare the prevailing level of knowledge, attitude, and practices of adolescent girls studying in government and private schools towards menstrual hygiene and management. Material & Methods: This Analytical and cross-sectional study was conducted at Government Jouhar Girls High School and Shiblee Grammar School System, Gulberg Branch (private) Faisalabad. A self-administered survey-based questionnaire was developed. Prior formal written approval from school authorities was followed by the pre-planned scheduled visits, explaining the purpose of the study, assuring confidentiality of acquired information, and self-administration of survey-based questionnaires. Results: The results indicated that the mean age at menarches of the girls was 13.69±0.95 years. A relatively more percentage of government (59.6%) school respondents followed by private school respondents (57.1%) had satisfactory knowledge about their age of first menarche (p = 0.806). Motivated by the socio-cultural taboos and /or fear or shame a majority of government (59.6%) and private school respondents (57.1%) had satisfactory knowledge about their age of first menarche (p = 0.806). A strong prevalence of Urinary Tract Infection (UTI) was found in private school girls 87(49.2%) and 21(11.9%), followed by respective percentages of 78(43.8%), 16(9.0%) amongst the government school respondents who recorded their responses as agreed and strongly agreed about the development of reproductive tract infection in the post-menstruation period. As far as the adoption of hygienic practices is concerned a relatively high percentage of government school 28(15.7%) followed by private school 14(7.9%) girls strongly disagreed about changing their absorbent material on daily basis. The development of skin abrasions like rashes, itching, and urinary tract infection was found in a relatively high proportion amongst the government school girls 30(16.9%) followed by private school respondents 18(10.2%) in the post-menstruation period. A most common and alarming unhygienic practice prevalent amongst the government and private school girls was the reuse of absorbent cloth, who responded as agreed and strongly agreed in respective terms as 43(24.2%), 22(12.4%), and 69(39%) and 28(15.8%). Conclusion: The study concluded that the persistent myths, misconceptions, socio-cultural taboos, and unhygienic practices i.e. use of old clothes as absorbent, reuse of absorbent material, and delaying tendency of changing absorbent, amongst the adolescent school girls of government and private institutes which may pose direct adverse health and life quality concerns for the female Pakistani community. The current situation calls for active participatory contributions from education communities to initiate various communication and awareness campaigns regarding pre-menarche knowledge and menstruation management which may aid to strengthen and transform their role as a significant representative of society.
Multiparity is a matter of great concern regarding the health of women as well as child. At the same time it has different determinants and socioeconomic backgrounds. Objective: To determine the determinants of lack of family planning in grand multiparous women. Methods: It is a descriptive cross sectional study including 271 GMP patients from DHQ Hospital Okara city. Mean age was 35 ± 10 years. Data was collected with the help of questionnaire and evaluated and analyzed using SPSS version 24. Mean and standard deviation was calculated for quantitative data and frequency and percentages for qualitative data. To measure the determinants of lack of family planning, chi square test was used. P values less than and equal to 0.05 were taken as significant. Results: Most of women belong to rural area 172 (63.47%) and are Muslims 259 (95.5%). Most of the families lie under upper lower 149 (54.8%) and lower middle group of income 71 (26.1%). The reason of last pregnancy was desire for baby boy 66 (24.4%), then husband’s wish 45 (16.6%) and so on. There is a good association of socioeconomic status and residence of head of family as p < 0.05, (Results are 325.272a, df = 10, p=0 .000). There is an association of Gravida and socioeconomic status of head of family as p<0.05. (27.294, df= 20, p=.05). There is a good association between reasons of last pregnancy and gravida as p<0.05, (41.920, df = 24, p=0 .001). Conclusions: The grand multiparty is still very common in Okara Pakistan district, considering the easy availability of modern contraceptive methods but very few women are aware of it. The most popular explanation given for present pregnancy by grand multiparous women was an urge for baby boy followed by husband wish. Most of women are Muslims. Rural Women are more socio-economically down and they have grander multiparty
Infection is one of the leading causes of death in the world especially in low and lower-middle income countries. Objective: To determine the frequency of nosocomial infection in the Intensive Care Unit of a tertiary care teaching hospital, Lahore, Pakistan. Methods: Patients (n=270) were included in a study that was conducted in ICU of a tertiary care public sector, Jinnah Hospital, Lahore for a period of 18 months. Patients were divided into two groups (pre and post educational intervention). During this period, information about patient’s nosocomial infection rate, its distribution and patient’s excess length of stay in hospital collected. Data were analyzed using SPSS version 26.0. Chi-square Test was applied to find out the significance of nosocomial infection keeping P-value of ≤ 0.05 as significant. Results: Total of 115 (42.6%) were males and 155 (57.4%) were females. Results showed 42 (15.9%) out of 270 participants suffered in Nosocomial Infection/Hospital Acquired Infection during treatment and stay in ICU. Conclusion: It was concluded that educational intervention played a significant role in controlling the nosocomial infection among patients admitted in the ICU.
Oral diseases can vastly depreciate the individual’s quality of life. It has also been considered as the most important oral health burden worldwide. It can also have significant implications on the functional, mental, and social well-being of the individual. This has been found as a preventable dental and oral health issue which have also been amongst the most prevalent chronic disease. Objectives: To estimate the frequency of dental caries and its impact on the quality of children’s life in Hafiz- Abad, Pakistan. Methods: It was a cross sectional analytics based study spanning around nine months. Three hundred and seventy children (aged between 1-5 years) were included as subjects, who visited the District Headquarter (DHQ) hospital, Hafiz Abad, Lahore, Pakistan. Dental caries were measured by using decayed missing filled (DMF) index. Data was collected and analyzed by using SPSS version 23.0. Results: A high prevalence frequency of 243 (65.7%) were found suffering from dental caries. High prevalence of dental caries (70%) in children of low literate parents has been found statistically significant (p=0.035). As far as brushing frequency is concerned 93.8% children were not found brushing their teeth prior to breakfast. Theassociation between brushing frequency prior to breakfast and formation of dental caries was found statistically significant (p<0.001). Conclusion:High prevalence of dental caries coupled with high severity level was found associated with the worse dental and oral hygiene awareness levels amongst the preschool children and their parents
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