Background: Diabetes mellitus (DM) is one of the major fast growing non-communicable disease (NCD) and causes threats to global public health. Prior to initiating an educational program or interventions for diabetic patients, their current level of knowledge (K), attitude (A), and practice (P) should be evaluated. The purpose of this study was thus to determined current diabetes-related knowledge, attitude, and practices (KAP) of adults with Diabetes mellitus..Methods: Current study was cross sectional study from August to December 2014 in medicine outpatient department of Tertiary care hospital of Bhopal. A semi‑structured interviewer administered questionnaire was used for data collection, and it consisted of four sections.Results: A total of 150 study participants were enrolled for the study. Among them, 58% were male and 425 were female diabetic patients. Around 16% of the participants having good level of knowledge, 34.6% of participants have poor knowledge and 49.3% having moderate knowledge. Out of the total participant 43.3% have positive attitude and only 34% patients had positive practice.Conclusions: In our study most of the patients belong to moderate and poor knowledge score as well as negative practice and negative attitude that emphasizes the need for increasing diabetes awareness activities. The efforts should be more focussed on female patients, younger patients and those who have no family history of diabetes.
Background: Presently we are passing through a phase in the area of rehabilitation where in efforts are being made to spread services and training programs to raise awareness level related to mainstreaming and provision of equal rights and opportunity for the mentally retarded individuals. The present study was undertaken keeping in view the fact that an increasing number of children are being diagnosed with mental retardation parallelly an increase number of families will have to address and cope with the stress. The objective of the study was to study the stress perceived by the families having mentally retarded children and to find out the various factors influencing the perceived stressMethods: 100 families and102 mentally retarded children were studied. Section I of family interview for stress and coping in mental retardation (FISC-MR) was used to find out the family burden of care.Results: 47.97% of fathers and 68% of mothers are in the age group of 30-40 years. The severity of retardation was mild in 36 children, moderate in 46 children while 20 had severe retardation, 32% of mother feel mild stress of which 59.3% having education level up to degree college. 61% of mother showing moderate stress of which 68.8% having education level up to degree college. (67.3%) nuclear families show mild stress while only 22 (52.3%) joint families show mild stress.Conclusions: Living with and caring for the person with MR is very stressful and burdensome. High level of stress and burden is associated with increased level of disability; it being the maximum in the caregivers of persons with severe to profound Mental Retardation.
Introduction: Anaemia continues to be a major hurdle to achieve optimum health in Indian population context. Although government continues to promote Iron Folic Acid (IFA) supplementation as one of the key strategies to combat with burden of anaemia, the expected level of IFA consumption and subsequent anaemia reduction could not be achieved. This study tries to investigate those influences, concerns, experiences and behaviour from an end user perspective through a qualitative methodology which may affect the IFA consumption ambidirectionally.
Aim:To explore and understand the several aspects related with anaemia and IFA supplementation with special emphasis to reveal the contributory factors behind low level of IFA consumption at consumer end.
Materials and Methods:A community based qualitative study was conducted in clusters identified through multileveled stratification from a state of central India. A conceptual construct was made in priory for this study. As the research question was related with policy, this study adapted a framework technique for making interview topic guides. Two consumers and two non consumers from each identified cluster were interviewed in depth. The data obtained through 160 in depth interviews (from 80 consumers and 80 non consumers) was utilized for thematic framework, linkage association and to typify the phenomenon.
Background: Immunization is one of the best efforts that India is putting forward currently to fight against various vaccine preventable diseases. Cold chain maintenance is always an issue. Therefore, cold chain maintenance is a pre-requisite in the correct delivery of immunization services.Methods: A cross sectional study was conducted among 18 cold chain points (CCPs) of Jhabua district using standard Government of India (GOI) structured questionnaires.Results: Out of 18 cold chain points only 5.55% had dry room for the storage of needle, syringes and other clerical material. A separate voltage stabilizer was attached each to deep freezer and ILR at only 22% of the health centers. Only 55.55% CCPs waste disposal pit constructed as per guideline. 94.45% cold chain handlers (CCHs) knew the definition of cold chain and correct temperature range at which vaccines to be stored, whereas only 33.33% CCHs knew about Shake test. 72.23% CCHs knew how to read vaccine vial monitor (VVM) and stages of VVM correctly. Knowledge of the CCHs regarding open vial policy was poor, with only 33.33% knowing exactly, the details of open vial policy.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain point. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.
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