Demographics and diagnoses at rural health camps in Nepal: cross-sectional study

Pambos, Michael; Ng, J. S. F.; Loukes, Jonathan; Matheson, James; Aryal, Bijay; Adhikari, Suman; Kerry, Sally; Reid, Fiona; Oakeshott, Pippa

doi:10.1093/fampra/cms010

Cited by 13 publications

(14 citation statements)

References 11 publications

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“…Rural areas are marked by delay in seeking proper healthcare due to poverty, ignorance and challenging geographical terrain, non-availability of easy and affordable transport, with high economic burden both in terms of expenditure and loss of wages. [23] The type of disease also determines the health seeking behaviour, diseases being chronic in nature, subacute in presentation sometimes marked with poor prognosis and poor outcome, also make acceptance of problem as God given but they cannot be left unattended.…”

Section: Discussionmentioning

confidence: 99%

Health and Disease Profile of Children in Remote Rural Pockets of Himachal Pradesh, With a Look-Out for Uncommon and Rare Diseases- A Collage of Health Camp Based Cross Sectional Study

Hajela¹

2019

jemds

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BACKGROUND Health camp organization is an established mode of health care delivery to unreached rural population deprived of specialist care. Himachal Pradesh is a hilly area with difficult to travel geographical terrain. Our institute organized multispecialty health camps in remote rural pockets of Himachal Pradesh including paediatrician's services. METHODS Health status and disease profile of children who attended these camps were entered in a predesigned proforma. Haemoglobin estimation was done on the spot. Data of 472 children attending 20 such camps were analysed. RESULTS 7.84 % children came for paediatric consultation from 6019 patients who attended these camps. Maximum number of patients were in age group of 6-12 years. 25.6 % children had a weight for age < 3 rd percentile and an almost a similar number of 25.4 % had height less than <3 rd percentile for age, suggestive of malnutrition and short stature respectively. 78.8 % children had anaemia of varying degree. 36.7 % children were brought with long duration of illness lasting for more than one year and another 5.51% had problems since birth. The most common presenting complaint was pain abdomen with gastrointestinal tract, the most commonly involved system. Children suffering with uncommon & rare diseases, various Syndromes and CNS diseases were also found hidden in these rural pockets without any diagnostic or therapeutic help. CONCLUSIONS The study highlights a delayed health care seeking behaviour in rural children and parents. Anaemia is still a big problem in spite of many health programs in place for decades. Protein energy malnutrition is prevalent, and it is manifesting in the form of stunting in almost 25% of attended child population. A paediatrician-oriented specialist care for early diagnosis and management of these children is the need of hour. A lookout for uncommon diseases is required to address this issue in India to keep pace with global health care approach.

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Section: Discussionmentioning

confidence: 99%

Health and Disease Profile of Children in Remote Rural Pockets of Himachal Pradesh, With a Look-Out for Uncommon and Rare Diseases- A Collage of Health Camp Based Cross Sectional Study

Hajela¹

2019

jemds

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“…These areas also harbor concerns in land cultivation and agriculture which was reflected in rates of poverty, growth stunting, and malnutrition. The concerns in these underdeveloped communities are multifactorial [8,13].…”

Section: Discussionmentioning

confidence: 99%

“…Maternal anemia in pregnancy was reported in one study to be effectively treated with iron-folate, demonstrating a 31% decline in early infant mortality and low-birth weight. To note, hemoglobin levels were not measured [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…Outcomes of SUN presented by the National Planning Commission reported improvement in practices that promote nutritional services, multi-sector coordination at national and local levels, and expansion of capacity and utilization of basic services. A Nutrition Assessment and Gap Analysis in 2009 recommended maintenance of vitamin-A supplementation, deworming, treatment for diarrhea, salt iodization with expansion of micronutrition powders for younger children, infant feeding, and flour fortification [8,10,11,13].…”

Section: Discussionmentioning

confidence: 99%

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Child Healthcare in Nepal: Progress and Direction

Akhtar¹

2015

AJPHR

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Health policy changes in Nepal displayed struggles against a poor political, geographical, and economic setting; Millennium Development Goal #4 demanded improved infant and child mortality, as well as adequate measles vaccine coverage by the year 2015. Research in this report presents progress and direction of child health care policy across more than a decade of time in attempts of attaining MDG #4 and general child health care advancements. Subsequent observations and suggestions were delineated and offered. Progress since the 1990's up to 2012 was analyzed by review of serial national survey and report data. Trends and variations between regions were mostly analyzed amongst various child health care determinants. Results indicated many improved factors; Nepal will likely achieve MDG regarding child under-5 mortality, but may not achieve measles vaccine coverage or infant mortality goals. Furthermore, severe regional disparities were evident within Nepal, particularly in the Mid and Far-Western regions. A call for integrated community-based primary health care (CB-PHC) for infants and children became an ultimate ideal. A comprehensive, multidisciplinary, and community based primary care delivery service would address many of the deficits identified as well as reach rural and remote areas that still suffered. Risk and data-based resource allocation promise improved utilization, but also demands more frequent and better data reporting. Coordinated, multi-sector health policy initiatives have been underway; this demonstrated a strong direction in improving child health care from urban to every village.

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“…Presence of unattended diseases among them, poverty, education and infrastructure limits to health care exacerbates health care inequalities. Number of charities and projects has been established to provide health care to the isolated and poverty stricken members of society (Pambos et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Quality health services and its access in a village: A case study

Thungathurthi¹,

Sree²,

Fathima³

et al. 2018

Asian J Pharm Pharmacol

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Objective: The study analyzes the awareness of healthcare facilities among rural people. The already existing infrastructure and various provision mechanisms of healthcare facilities are adequate but still require massive programs to educate rural people. There is also a need to make the ruralites awareness on Government health schemes, usage of natural remedies, self-treatment.The analysis sample consists of 80 subjects, aged between Materials and Methods: 20 to 90 yrs and living in a rural community in Narsampet mandal of Warangal district, India. Attendees queried for the availability of health services, and recorded in proforma prepared.The results showed the awareness about Results: availability of the medical facilities provided by the Government. Majority in numbers are unaware about existing Primary Healthcare Center (PHC) or physicians availability in selected rural area. The association between laboratory facilities and PHC was evident from the studies.One notable relief observed among villagers that many Conclusion: are not preferring self-treatments for their ailments with modern medicines.

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Demographics and diagnoses at rural health camps in Nepal: cross-sectional study

Abstract: There is a considerable unmet disease burden within rural districts of Nepal particularly for stomach pain, musculoskeletal pain and visual acuity problems. When planning similar rurally based health camps, we recommend recruiting GPs and ophthalmologists.

Cited by 13 publications

References 11 publications

Health and Disease Profile of Children in Remote Rural Pockets of Himachal Pradesh, With a Look-Out for Uncommon and Rare Diseases- A Collage of Health Camp Based Cross Sectional Study

Health and Disease Profile of Children in Remote Rural Pockets of Himachal Pradesh, With a Look-Out for Uncommon and Rare Diseases- A Collage of Health Camp Based Cross Sectional Study

Child Healthcare in Nepal: Progress and Direction

Quality health services and its access in a village: A case study

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