Background: The human resource shortage in Zambia is placing a heavy burden on the few health care workers available at health facilities. The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services.
Abstract. We surveyed adults in a randomly selected sample of 1,000 households in 50 villages in nine malarial sub-districts in Purworejo, central Java, Indonesia from May to July 2001. The survey assessed malaria knowledge, attitudes, and practices in communities experiencing epidemic malaria to begin exploring broad strategies for controlling the disease in the region. A pre-tested survey instrument consisting of 93 questions addressed demographic characteristics, socioeconomic factors, knowledge and perceptions of malaria, burden and severity of disease, treatment-seeking behavior, malaria prevention practices, and perceptions of government malaria control efforts. The survey was taken by in-person interview of all subjects. Most (97%) subjects were aware of malaria and more than two-thirds correctly identified mosquitoes as the vector. Forty-one percent of households in both forest/hilly and agricultural/urban areas reported malaria illness in the past year. Thirty-six percent (357 households) owned at least one bed net, 92% of these had been purchased by the owners. However, only 36% of households with bed nets affirmed their use as a means of preventing malaria. Nearly all respondents reported a willingness to accept spraying of residual insecticides for malaria prevention, yet less than 5% were willing to pay a nominal fee (US $3) for this service. Fifty-two percent of respondents reported self-treatment of malaria illness without visiting a health facility. This assessment of knowledge, attitudes, and practices showed a broad awareness of malaria and its consequences among residents of malarial areas in the Menoreh Hills of Central Java.
The study was conducted at Ashuganj-Polash agro-irrigation project (APAIP), Brahmanbaria,aim to determine the chemical properties of power plant disposal water and to assess its suitability for irrigation. Initial soil samples (before irrigating crop field) and final soil samples (after crop harvesting) were collected. During irrigation ten water samples (six from crop field and four from irrigation canals) were collected for analysis. All soil samples were analyzed in Humboldt soil testing laboratory and water samples in bio-chemistry laboratory of Bangladesh Agricultural University and compared to FAO irrigation standard. Results show thatthe sodium absorption ratio (SAR) (0.53 to 0.88), residual sodium bi-carbonate (0.8 to 1.3meq L-1), Kelly’s ratio (0.31 to 0.6) and total hardness (85 to 150) found in normal range and largely suitable for irrigation. Soluble sodium percentage values found in satisfactory (20.26 to 41.1) level and magnesium absorption (57.1 to 76.4) found unsuitable for irrigation. Statistically similar value of pH, EC, total nitrogen, organic carbon, calcium, magnesium and phosphorus in initial and final soil sample were observed. But potassium and sulfur value reduced in final soil sample from initial soil. The water samples fall within the permissible limit and found suitable for crop production
Background: Obesity is becoming an important public health problem in India. The objectives were to know the prevalence of obesity (generalized obesity, abdominal obesity), to know the difference in prevalence of abdominal obesity with respect to waist circumference and waist hip ratio, to know the factors associated with obesity.Methods: Descriptive cross-sectional study done at field practice area of urban health centre. 306 study subjects (15-65 years) were included into the study. A semi-structured schedule was applied. Body mass index ≥25 kg/m2 was considered as generalized obesity. Waist circumference, waist-hip ratio were calculated.Results: The prevalence of generalized obesity was 35.6%. Abdominal obesity was rose from 56.2% to 76.1% when waist-hip ratio was taken as parameter instead of waist circumference. Most of the study subjects were not physically active.Conclusions: The prevalence of obesity is high among study subjects.
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