Shailaja Patil | BLDE UNIVERSITY BIJAPUR (original) (raw)

Papers by Shailaja Patil

International Journal Of Community Medicine And Public Health, 2022

Background: Young budding doctors doing residency is a very stressful period. There is growing co... more Background: Young budding doctors doing residency is a very stressful period. There is growing concern about stress in doctors working in hospitals. So, this study was carried out to study the proportion of stress and associated factors influencing stress among resident doctors at a tertiary care hospital in Vijayapura, Karnataka.Methods: A cross-sectional study was conducted in BLDE (Deemed to be University), Shri B. M. Patil medical college, hospital and research centre, Vijayapura from July 2019 to December 2019. The perceived stress scale, 10-item self report questionnaire was used to assess the level of stress. analysis was done using SPSS 16. Results: A total of 207 post graduate residents were interviewed.90% of postgraduate students responded and all were above the age of 24 years. 52.7% were males and 47.3% were females. Of all postgraduates 91.3% were Hindu, 5.3% were Muslim by religion. Our study has revealed more stress among 2nd year resident doctors.Conclusions: Fixed ...

Journal of Family Medicine and Primary Care, 2022

Background: The Covid-19 pandemic has resulted in syndemic due to factors like overcrowding, lone... more Background: The Covid-19 pandemic has resulted in syndemic due to factors like overcrowding, loneliness, poor nutrition, and lack of access to health care services. With the ongoing pandemic, people with NCDs, including PLHA, are at high risk for developing severe and even fatal Covid-19 infections. Our study, which was carried out prior to the pandemic gives us an insight into the NCD risk factors profile of PLHAs so that effective interventions could be initiated to protect them from Covid-19 severity and NCDs. Materials And Methods: A prospective study was carried out among PLHA in western Maharashtra, where PLHA were selected from five ART centers by means of a systematic random sampling method. Data were collected by means of a pretested questionnaire to assess NCD risk factors and anthropometric measurements were done. Data were collected at the baseline during the time of ART initiation and then after one year. Analysis was done by means of SPSS software (version 20.0). Results: The mean age of the study participants was 41.73 years. 59% belonged to rural areas, 21% were illiterate, and 12% belonged to the lower class as per the Modified BG Prasad scale. 33% were laborers by occupation, 66% were married, and 22% were widowed. At baseline, during the start of ART, 26% of the subjects were found to be overweight or obese, 36% had tobacco or smoking habits, and 15% had alcohol consumption habits. Even after one year, despite repeated counseling, about 32% of the subjects were found to be overweight or obese, 28% had tobacco and 8% had alcohol consumption habits, pointing to the need to integrate NCD prevention measures, such as screening routinely as per the national program, even in the PLHAs. 34% had normal BMI, while 35% were underweight, 14% overweight, and 17% obese after one year. 24% of PLHA had abnormal waist circumference at the end of one year. Conclusion: These findings indicate the incorporation of early screening for NCD risk factors among PLHA and effective behavior change communication (BCC) strategies to prevent and manage the same at the earliest before it can aggravate the already compromised immune status in these subjects, particularly during this Covid 19 pandemic. It will also act as a guiding article for family physicians or primary care physicians to help them look at specific basic parameters while screening of NCDs among PLHAs.

Health Education & Behavior

Most Indian adolescents, particularly girls and private school students, do not engage in suffici... more Most Indian adolescents, particularly girls and private school students, do not engage in sufficient physical activity (PA). Current understanding of these sociodemographic differences is limited by a focus on exercise, which may not fully capture PA in developing countries. We examined how gender and school type are associated with multiple PA domains and whether associations with gender differ by school type. We randomly selected an equal number of girls and boys (ages 13-16 years) from public and private schools in Southern India ( n = 395). Cross-sectional 24-hour time-use surveys measured PA, which was categorized into three domains: chores, errands, and work; play; and transportation. Negative binomial and logistic regression modeled relative differences in domain-specific PA minutes and the probability of engaging in ≥60 minutes of moderate-to-vigorous PA (MVPA), respectively, in the prior 24 hours. Girls and boys were equally likely to meet MVPA recommendations. However, gir...

Asian Journal of Pharmaceutical and Clinical Research

Objective: The objective of this study was to assess the nutritional status of people living with... more Objective: The objective of this study was to assess the nutritional status of people living with HIV and acquired immunodeficiency syndrome (PLHAs) on antiretroviral treatment (ART) and their knowledge with respect to role of nutrition in maintaining their health and to know the association of various factors with nutritional status and knowledge among PLHAs attending ART centers.Methods: A cross-sectional study carried out at ART center of a tertiary care institution in Maharashtra. A total of 104 PLHAs who were started on ART for the 1st time and completed minimum 6 months of treatment and who gave consent were included in the study. Data were collected by personal interview technique after taking informed consent with the help of pre-tested, prevalidated questionnaire with predetermined scoring system along with anthropometric measurements and relevant investigations maintaining strict confidentiality. Those with <50% scores were marked as unsatisfactory and more than 50% as ...

Indian Journal of Community Medicine

Context: Asthma prevalence and severity is increasing among Indian children. There is the paucity... more Context: Asthma prevalence and severity is increasing among Indian children. There is the paucity of data on pediatric asthma in rural India and treatment received by asthmatics is not up-to-standard treatment guidelines. Aim: The aim is to estimate asthma prevalence and factors influencing access to standard asthmatic care among 5–15 years aged children. Settings and Design: Cross-sectional study conducted in rural north-Karnataka for 1 year. Subjects and Methods: The International Study of Asthma and Allergies in Childhood questionnaire was administered to participants followed by clinical examination. A child was considered as asthmatic if there was affirmative response to: (a) History of wheeze in the past 12 months, (b) Physician diagnosed/ever asthma, (c ) history of taking inhaled/oral bronchodilators. Statistical Analysis: All characteristics were summarized descriptively. Results: Prevalence of Current-wheeze, Ever-asthma, and wheeze on exertion were 4%, 2%, and 3.7%, respectively. About 63.9% of asthmatics had severe-asthma and 44.4% reported severe attack of wheezing limiting speech. About 89% of current-wheezers used only oral medications for wheeze/asthma, 50% did not take medicines as per doctors' advice. None availed regular follow-up. Financial constraints and ignorance were major reasons cited. Conclusions: Illiteracy, poverty, lack of proper guidelines, and non-availability of inhalational medications have affected treatment adherence resulting in severe asthma.

Introduction: Type 2 DM is a major public health problem in both developing and developed countri... more Introduction: Type 2 DM is a major public health problem in both developing and developed countries. Diabetes and its complications are leading cause for morbidity and mortality, which negatively affects the quality of life. So we conducted this study to assess the QOL of known type 2 diabetics & to understand the association of BMI, Waist circumference, Blood pressure and HbA1c levels with QOL.

INTERNATIONAL JOURNAL OF PREVENTIVE, CURATIVE & COMMUNITY MEDICINE

Introduction: Amalgamation of AYUSH (Ayurveda, Yoga, Unani, Siddha& Homeopathy) with allopathy me... more Introduction: Amalgamation of AYUSH (Ayurveda, Yoga, Unani, Siddha& Homeopathy) with allopathy medicine is a practicable solution for scarcity of health care providers in India. In this regard Government of India has recently mainstreamed AYUSH in rural area by in cooperating it in National Rural Health Mission (NRHM). But the scope of this incorporation will be subjective to the acceptance of AYUSH by allopathic practitioners. Objective: To assess the knowledge and attitude of allopathic health care professionals (undergraduates, postgraduates and interns) towards AYUSH system of medicine. Material and Method: This was a cross-sectional study conducted in medical students of a college in Karnataka, India. Questionnaire was used and data was analyzed using SPSS 16.ver. Results: Out of 131 medical students 49% were males and 51% were females. Only 49.6% of them could expand AYUSH completely and 61% knew that AYUSH was included under NRHM. Attitude of the allopathic practitioners was positive towards AYUSH. 72.5% of them welcomed the Government move of mainstreaming AYUSH in primary health care delivery under NHM in rural areas. Conclusion: Majority of the medical students had positive attitude towards AYUSH and welcome the step of government to include them in NHM.

International journal of current research and review, 2012

Introduction: Children under the age of 5 years constitute a priority group because of their larg... more Introduction: Children under the age of 5 years constitute a priority group because of their large numbers. In India they comprise about 13% of the total population.They are also regarded as vulnerable or high risk group because of the problems arising out during their growth, development & survival. 50% of the deaths are occurring among children during the first 5 years of life in developing countries including India. Malnutrition is regarded as the most widespread condition affecting the health status of under five children. Approximately 47% of the India’s (under age of five years) children are underweight one in three adult women in India is underweight and therefore at risk of developing babies with low birth weight. Children under age of five years suffer from a host variety of diseases like diarrhea, respiratory infections, measles, pertusis, polio, tuberculosis and diphtheria due to malnutrition. Objectives: 1) to assess the nutritional status of children under age of five y...

The International Journal of Plant, Animal and Environmental Sciences, 2011

Objective of study: 1. To study the Sociocultural factors affecting Breast feeding practices and ... more Objective of study: 1. To study the Sociocultural factors affecting Breast feeding practices and decisions among rural women. Methodology: A cross-sectional study was conducted among 240 mothers having children <2 years age attending Rural field practice area of Shri B M Patil Medical College, Bijapur during September 2009 to March 2010.Results: The mean age of the respondents was 24.66 years. Out of 240 mothers 51.66% were having children 12-24 mths of age,52.91%children were of birth order one & 18.33% were of third order of birth or more,91.6% of mothers gave prelacteal feeds to their children, Almost all the mothers breast fed their child,23.3% of mothers had initiated breast feeding within 4 hours of delivery. 25% of mothers who had studied up to college level & more had not practiced exclusive breast feeding, only 35% mothers gave colostrums, 61.29% of the mothers started weaning after 6 mths of birth & 9.67% started weaning after one year of birth. Elderly females in the f...

Background: Overweight is increasing in developing countries even as underweight remains highly p... more Background: Overweight is increasing in developing countries even as underweight remains highly prevalent in some communities, leading to a double burden of malnutrition. This study explored physicians' perceptions about the emergence of overweight and its clinical management in a socioeconomically developing region of India, where underweight constitutes to be a major health problem among children and adolescents. Objective: This study aimed to explore how physicians in the Vijayapura city, India are understanding and managing the emerging double burden of underweight and overweight in adolescents. Material and Methods: A semi structured questionnaire was developed consisting of 35 close-ended questions about causes of obesity, gender differences, and treatment practices and three open-ended questions about the main perceived reasons for obesity. One question ranked various reasons for emergence of adolescent obesity. Twenty-ve physicians participated in the survey. Results: P...

BackgroundThe nutrition transition in low- and middle-income countries including India may involv... more BackgroundThe nutrition transition in low- and middle-income countries including India may involve changes not only in dietary patterns but also food behaviors; these need to be understood to desig...

International Journal Of Community Medicine And Public Health

Background: Children are nature`s gift and fountain of life. They are future citizens and their h... more Background: Children are nature`s gift and fountain of life. They are future citizens and their health is nation`s wealth. There is a meaningful saying that ‘nation marches on tiny feet of young children and no nation without due love and attention paid to its children will lead to social and economic development. By promoting their good health we will be strengthening the development of the family, nation and world. As per National Family Health Survey IV, 38.4% children in India are stunted, 21% wasted and nearly 35.7% are under weight. Karnataka has a prevalence of stunting (36.2%), wasting (26%) and underweight (35.2%). The objective was assessment of nutritional status of primary school children of urban field practice area. Methods: A cross-sectional study was conducted in Maddy primary school located in Dorgalli, Urban field practical area, Chandabowdi, dept. of Community Medicine, Shri B.M. Patil medical college hospital and Research centre, Vijayapura. All children were ass...

International Journal Of Community Medicine And Public Health

Background: Malnutrition among under 5 children is a major public health concern in India, sub-op... more Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp.Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp.Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfee...

Indian Journal of Public Health Research & Development

International Journal Of Community Medicine And Public Health, Apr 24, 2020

According to WHO, joint child malnutrition estimate report 2019, globally there are more than 150... more According to WHO, joint child malnutrition estimate report 2019, globally there are more than 150.8 million children, under five years of age suffer from stunting, 50.5 million of them are Wasted and 17 million are severely wasted. 1 Approximately 80% of these undernourished children, mainly comes from 20 countries, with India contributing for almost 60 million underweight children. Currently, in India 43% of under 5 children are underweight, 48% are stunted due to chronic under nutrition and 20 percent of them are suffering from wasting due to acute undernutrition. 2 Stunting and wasting in children are life-threatening results of poor nutrition in early childhood, children suffering from stunting and wasting will have weakened immunity and will never attain their full possible growth physically as well as mentally. 1 According to recommendation given by WHO and UNICEF to obtain optimal infants and young children growth, it is very crucial for every children to receive breast milk within 1 hour after birth, exclusively breastfed for the first 6 months and should be introduced to semisolid or solid food at beginning of 6 month along with continuation of breastfeeding until 2 years. 3 After the 6 months, breast milk alone can no longer meet the nutritional requirement ABSTRACT Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp. Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp. Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfeeding and only 38.3% of mothers had practice exclusive breastfeeding for the first 6 months. 36% of the mothers had given prelactial feeds, 62.8% of mothers had fed their children with colostrum and timely initiation of complementary feeding was practiced only among 18.2% of mothers. Conclusions: This study shows inadequate knowledge among mothers regarding infant and young child feeding methods and faulty child feeding practices were followed by mothers.

International Journal Of Community Medicine And Public Health, Oct 25, 2017

The importance of water sanitation and hygiene (WASH) has been well documented in the literature.... more The importance of water sanitation and hygiene (WASH) has been well documented in the literature. It is one of the basic components of health in schools. Research of WASH on nutrition has showed that WASH is responsible for half of under nutrition in the world. 1,2 Recent studies have highlighted the importance of environmental hygiene on child's nutritional status. Similarly under nutrition is a risk factor for enteric infections. Today, WASH measures remain critically important especially among children from developing countries who are at greater risk from enteric infections. As a result of increased use of oral rehydration therapy (ORT), the diarrhoea mortality has been reduced even though diarrhoea remains the second leading cause of death in under five children after puenmonia. 3 88% of all child deaths are due to diarrhoeal diseases. 3 Soil transmitted helminthic infections are strongly associated with open air defecation and the use of fresh excreta or wastewater in agriculture. About 1 billion people practise ABSTRACT Background: One of the world's most urgent issues is lack of safe water, sanitation and hygiene. Water-related improvements are crucial to meet the development goals, reduce child mortality, and improve health in a sustainable way. The absence of WASH in schools is responsible for 20% of total deaths and disability adjusted life years (DALYs) in children. Over 440 million schools days are missed annually due to water, sanitation and hygiene related diseases. Though there are emerging vaccines for rotavirus and cholera still WASH remains critical in the prevention of diarrheal diseases, soil transmitted helminthes infections and acute respiratory diseases. Objective of the study was to study the implementation and functionality of WASH in schools. Methods: A cross sectional study was done in all the schools of rural practice area of our college by interview technique using a pre tested semi structured questionnaire. Results: Out of 7 schools, 5 (71%) had piped water supply but only 2 schools (28.5%) practiced the process of water purification every day. All the schools were provided with toilet facilities whereas only 3 schools had separate toilet for girls. When looked upon availability of soap only 3 schools had provided soap regularly for hand washing. Most of the schools taught about personal hygiene but only 2 schools revealed that they dispose solid waste regularly. Conclusions: Although nationwide emphasis is given to water sanitation and hygiene, practicing is very low especially in rural areas. Therefore special efforts should be done not only for the implantation, but also upon the operation and maintenance of the same.

International Journal Of Community Medicine And Public Health, 2022

Background: Young budding doctors doing residency is a very stressful period. There is growing co... more Background: Young budding doctors doing residency is a very stressful period. There is growing concern about stress in doctors working in hospitals. So, this study was carried out to study the proportion of stress and associated factors influencing stress among resident doctors at a tertiary care hospital in Vijayapura, Karnataka.Methods: A cross-sectional study was conducted in BLDE (Deemed to be University), Shri B. M. Patil medical college, hospital and research centre, Vijayapura from July 2019 to December 2019. The perceived stress scale, 10-item self report questionnaire was used to assess the level of stress. analysis was done using SPSS 16. Results: A total of 207 post graduate residents were interviewed.90% of postgraduate students responded and all were above the age of 24 years. 52.7% were males and 47.3% were females. Of all postgraduates 91.3% were Hindu, 5.3% were Muslim by religion. Our study has revealed more stress among 2nd year resident doctors.Conclusions: Fixed ...

Journal of Family Medicine and Primary Care, 2022

Background: The Covid-19 pandemic has resulted in syndemic due to factors like overcrowding, lone... more Background: The Covid-19 pandemic has resulted in syndemic due to factors like overcrowding, loneliness, poor nutrition, and lack of access to health care services. With the ongoing pandemic, people with NCDs, including PLHA, are at high risk for developing severe and even fatal Covid-19 infections. Our study, which was carried out prior to the pandemic gives us an insight into the NCD risk factors profile of PLHAs so that effective interventions could be initiated to protect them from Covid-19 severity and NCDs. Materials And Methods: A prospective study was carried out among PLHA in western Maharashtra, where PLHA were selected from five ART centers by means of a systematic random sampling method. Data were collected by means of a pretested questionnaire to assess NCD risk factors and anthropometric measurements were done. Data were collected at the baseline during the time of ART initiation and then after one year. Analysis was done by means of SPSS software (version 20.0). Results: The mean age of the study participants was 41.73 years. 59% belonged to rural areas, 21% were illiterate, and 12% belonged to the lower class as per the Modified BG Prasad scale. 33% were laborers by occupation, 66% were married, and 22% were widowed. At baseline, during the start of ART, 26% of the subjects were found to be overweight or obese, 36% had tobacco or smoking habits, and 15% had alcohol consumption habits. Even after one year, despite repeated counseling, about 32% of the subjects were found to be overweight or obese, 28% had tobacco and 8% had alcohol consumption habits, pointing to the need to integrate NCD prevention measures, such as screening routinely as per the national program, even in the PLHAs. 34% had normal BMI, while 35% were underweight, 14% overweight, and 17% obese after one year. 24% of PLHA had abnormal waist circumference at the end of one year. Conclusion: These findings indicate the incorporation of early screening for NCD risk factors among PLHA and effective behavior change communication (BCC) strategies to prevent and manage the same at the earliest before it can aggravate the already compromised immune status in these subjects, particularly during this Covid 19 pandemic. It will also act as a guiding article for family physicians or primary care physicians to help them look at specific basic parameters while screening of NCDs among PLHAs.

Health Education & Behavior

Most Indian adolescents, particularly girls and private school students, do not engage in suffici... more Most Indian adolescents, particularly girls and private school students, do not engage in sufficient physical activity (PA). Current understanding of these sociodemographic differences is limited by a focus on exercise, which may not fully capture PA in developing countries. We examined how gender and school type are associated with multiple PA domains and whether associations with gender differ by school type. We randomly selected an equal number of girls and boys (ages 13-16 years) from public and private schools in Southern India ( n = 395). Cross-sectional 24-hour time-use surveys measured PA, which was categorized into three domains: chores, errands, and work; play; and transportation. Negative binomial and logistic regression modeled relative differences in domain-specific PA minutes and the probability of engaging in ≥60 minutes of moderate-to-vigorous PA (MVPA), respectively, in the prior 24 hours. Girls and boys were equally likely to meet MVPA recommendations. However, gir...

Asian Journal of Pharmaceutical and Clinical Research

Objective: The objective of this study was to assess the nutritional status of people living with... more Objective: The objective of this study was to assess the nutritional status of people living with HIV and acquired immunodeficiency syndrome (PLHAs) on antiretroviral treatment (ART) and their knowledge with respect to role of nutrition in maintaining their health and to know the association of various factors with nutritional status and knowledge among PLHAs attending ART centers.Methods: A cross-sectional study carried out at ART center of a tertiary care institution in Maharashtra. A total of 104 PLHAs who were started on ART for the 1st time and completed minimum 6 months of treatment and who gave consent were included in the study. Data were collected by personal interview technique after taking informed consent with the help of pre-tested, prevalidated questionnaire with predetermined scoring system along with anthropometric measurements and relevant investigations maintaining strict confidentiality. Those with <50% scores were marked as unsatisfactory and more than 50% as ...

Indian Journal of Community Medicine

Context: Asthma prevalence and severity is increasing among Indian children. There is the paucity... more Context: Asthma prevalence and severity is increasing among Indian children. There is the paucity of data on pediatric asthma in rural India and treatment received by asthmatics is not up-to-standard treatment guidelines. Aim: The aim is to estimate asthma prevalence and factors influencing access to standard asthmatic care among 5–15 years aged children. Settings and Design: Cross-sectional study conducted in rural north-Karnataka for 1 year. Subjects and Methods: The International Study of Asthma and Allergies in Childhood questionnaire was administered to participants followed by clinical examination. A child was considered as asthmatic if there was affirmative response to: (a) History of wheeze in the past 12 months, (b) Physician diagnosed/ever asthma, (c ) history of taking inhaled/oral bronchodilators. Statistical Analysis: All characteristics were summarized descriptively. Results: Prevalence of Current-wheeze, Ever-asthma, and wheeze on exertion were 4%, 2%, and 3.7%, respectively. About 63.9% of asthmatics had severe-asthma and 44.4% reported severe attack of wheezing limiting speech. About 89% of current-wheezers used only oral medications for wheeze/asthma, 50% did not take medicines as per doctors' advice. None availed regular follow-up. Financial constraints and ignorance were major reasons cited. Conclusions: Illiteracy, poverty, lack of proper guidelines, and non-availability of inhalational medications have affected treatment adherence resulting in severe asthma.

Introduction: Type 2 DM is a major public health problem in both developing and developed countri... more Introduction: Type 2 DM is a major public health problem in both developing and developed countries. Diabetes and its complications are leading cause for morbidity and mortality, which negatively affects the quality of life. So we conducted this study to assess the QOL of known type 2 diabetics & to understand the association of BMI, Waist circumference, Blood pressure and HbA1c levels with QOL.

INTERNATIONAL JOURNAL OF PREVENTIVE, CURATIVE & COMMUNITY MEDICINE

Introduction: Amalgamation of AYUSH (Ayurveda, Yoga, Unani, Siddha& Homeopathy) with allopathy me... more Introduction: Amalgamation of AYUSH (Ayurveda, Yoga, Unani, Siddha& Homeopathy) with allopathy medicine is a practicable solution for scarcity of health care providers in India. In this regard Government of India has recently mainstreamed AYUSH in rural area by in cooperating it in National Rural Health Mission (NRHM). But the scope of this incorporation will be subjective to the acceptance of AYUSH by allopathic practitioners. Objective: To assess the knowledge and attitude of allopathic health care professionals (undergraduates, postgraduates and interns) towards AYUSH system of medicine. Material and Method: This was a cross-sectional study conducted in medical students of a college in Karnataka, India. Questionnaire was used and data was analyzed using SPSS 16.ver. Results: Out of 131 medical students 49% were males and 51% were females. Only 49.6% of them could expand AYUSH completely and 61% knew that AYUSH was included under NRHM. Attitude of the allopathic practitioners was positive towards AYUSH. 72.5% of them welcomed the Government move of mainstreaming AYUSH in primary health care delivery under NHM in rural areas. Conclusion: Majority of the medical students had positive attitude towards AYUSH and welcome the step of government to include them in NHM.

International journal of current research and review, 2012

Introduction: Children under the age of 5 years constitute a priority group because of their larg... more Introduction: Children under the age of 5 years constitute a priority group because of their large numbers. In India they comprise about 13% of the total population.They are also regarded as vulnerable or high risk group because of the problems arising out during their growth, development & survival. 50% of the deaths are occurring among children during the first 5 years of life in developing countries including India. Malnutrition is regarded as the most widespread condition affecting the health status of under five children. Approximately 47% of the India’s (under age of five years) children are underweight one in three adult women in India is underweight and therefore at risk of developing babies with low birth weight. Children under age of five years suffer from a host variety of diseases like diarrhea, respiratory infections, measles, pertusis, polio, tuberculosis and diphtheria due to malnutrition. Objectives: 1) to assess the nutritional status of children under age of five y...

The International Journal of Plant, Animal and Environmental Sciences, 2011

Objective of study: 1. To study the Sociocultural factors affecting Breast feeding practices and ... more Objective of study: 1. To study the Sociocultural factors affecting Breast feeding practices and decisions among rural women. Methodology: A cross-sectional study was conducted among 240 mothers having children <2 years age attending Rural field practice area of Shri B M Patil Medical College, Bijapur during September 2009 to March 2010.Results: The mean age of the respondents was 24.66 years. Out of 240 mothers 51.66% were having children 12-24 mths of age,52.91%children were of birth order one & 18.33% were of third order of birth or more,91.6% of mothers gave prelacteal feeds to their children, Almost all the mothers breast fed their child,23.3% of mothers had initiated breast feeding within 4 hours of delivery. 25% of mothers who had studied up to college level & more had not practiced exclusive breast feeding, only 35% mothers gave colostrums, 61.29% of the mothers started weaning after 6 mths of birth & 9.67% started weaning after one year of birth. Elderly females in the f...

Background: Overweight is increasing in developing countries even as underweight remains highly p... more Background: Overweight is increasing in developing countries even as underweight remains highly prevalent in some communities, leading to a double burden of malnutrition. This study explored physicians' perceptions about the emergence of overweight and its clinical management in a socioeconomically developing region of India, where underweight constitutes to be a major health problem among children and adolescents. Objective: This study aimed to explore how physicians in the Vijayapura city, India are understanding and managing the emerging double burden of underweight and overweight in adolescents. Material and Methods: A semi structured questionnaire was developed consisting of 35 close-ended questions about causes of obesity, gender differences, and treatment practices and three open-ended questions about the main perceived reasons for obesity. One question ranked various reasons for emergence of adolescent obesity. Twenty-ve physicians participated in the survey. Results: P...

BackgroundThe nutrition transition in low- and middle-income countries including India may involv... more BackgroundThe nutrition transition in low- and middle-income countries including India may involve changes not only in dietary patterns but also food behaviors; these need to be understood to desig...

International Journal Of Community Medicine And Public Health

Background: Children are nature`s gift and fountain of life. They are future citizens and their h... more Background: Children are nature`s gift and fountain of life. They are future citizens and their health is nation`s wealth. There is a meaningful saying that ‘nation marches on tiny feet of young children and no nation without due love and attention paid to its children will lead to social and economic development. By promoting their good health we will be strengthening the development of the family, nation and world. As per National Family Health Survey IV, 38.4% children in India are stunted, 21% wasted and nearly 35.7% are under weight. Karnataka has a prevalence of stunting (36.2%), wasting (26%) and underweight (35.2%). The objective was assessment of nutritional status of primary school children of urban field practice area. Methods: A cross-sectional study was conducted in Maddy primary school located in Dorgalli, Urban field practical area, Chandabowdi, dept. of Community Medicine, Shri B.M. Patil medical college hospital and Research centre, Vijayapura. All children were ass...

International Journal Of Community Medicine And Public Health

Background: Malnutrition among under 5 children is a major public health concern in India, sub-op... more Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp.Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp.Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfee...

Indian Journal of Public Health Research & Development

International Journal Of Community Medicine And Public Health, Apr 24, 2020

According to WHO, joint child malnutrition estimate report 2019, globally there are more than 150... more According to WHO, joint child malnutrition estimate report 2019, globally there are more than 150.8 million children, under five years of age suffer from stunting, 50.5 million of them are Wasted and 17 million are severely wasted. 1 Approximately 80% of these undernourished children, mainly comes from 20 countries, with India contributing for almost 60 million underweight children. Currently, in India 43% of under 5 children are underweight, 48% are stunted due to chronic under nutrition and 20 percent of them are suffering from wasting due to acute undernutrition. 2 Stunting and wasting in children are life-threatening results of poor nutrition in early childhood, children suffering from stunting and wasting will have weakened immunity and will never attain their full possible growth physically as well as mentally. 1 According to recommendation given by WHO and UNICEF to obtain optimal infants and young children growth, it is very crucial for every children to receive breast milk within 1 hour after birth, exclusively breastfed for the first 6 months and should be introduced to semisolid or solid food at beginning of 6 month along with continuation of breastfeeding until 2 years. 3 After the 6 months, breast milk alone can no longer meet the nutritional requirement ABSTRACT Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp. Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp. Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfeeding and only 38.3% of mothers had practice exclusive breastfeeding for the first 6 months. 36% of the mothers had given prelactial feeds, 62.8% of mothers had fed their children with colostrum and timely initiation of complementary feeding was practiced only among 18.2% of mothers. Conclusions: This study shows inadequate knowledge among mothers regarding infant and young child feeding methods and faulty child feeding practices were followed by mothers.

International Journal Of Community Medicine And Public Health, Oct 25, 2017

The importance of water sanitation and hygiene (WASH) has been well documented in the literature.... more The importance of water sanitation and hygiene (WASH) has been well documented in the literature. It is one of the basic components of health in schools. Research of WASH on nutrition has showed that WASH is responsible for half of under nutrition in the world. 1,2 Recent studies have highlighted the importance of environmental hygiene on child's nutritional status. Similarly under nutrition is a risk factor for enteric infections. Today, WASH measures remain critically important especially among children from developing countries who are at greater risk from enteric infections. As a result of increased use of oral rehydration therapy (ORT), the diarrhoea mortality has been reduced even though diarrhoea remains the second leading cause of death in under five children after puenmonia. 3 88% of all child deaths are due to diarrhoeal diseases. 3 Soil transmitted helminthic infections are strongly associated with open air defecation and the use of fresh excreta or wastewater in agriculture. About 1 billion people practise ABSTRACT Background: One of the world's most urgent issues is lack of safe water, sanitation and hygiene. Water-related improvements are crucial to meet the development goals, reduce child mortality, and improve health in a sustainable way. The absence of WASH in schools is responsible for 20% of total deaths and disability adjusted life years (DALYs) in children. Over 440 million schools days are missed annually due to water, sanitation and hygiene related diseases. Though there are emerging vaccines for rotavirus and cholera still WASH remains critical in the prevention of diarrheal diseases, soil transmitted helminthes infections and acute respiratory diseases. Objective of the study was to study the implementation and functionality of WASH in schools. Methods: A cross sectional study was done in all the schools of rural practice area of our college by interview technique using a pre tested semi structured questionnaire. Results: Out of 7 schools, 5 (71%) had piped water supply but only 2 schools (28.5%) practiced the process of water purification every day. All the schools were provided with toilet facilities whereas only 3 schools had separate toilet for girls. When looked upon availability of soap only 3 schools had provided soap regularly for hand washing. Most of the schools taught about personal hygiene but only 2 schools revealed that they dispose solid waste regularly. Conclusions: Although nationwide emphasis is given to water sanitation and hygiene, practicing is very low especially in rural areas. Therefore special efforts should be done not only for the implantation, but also upon the operation and maintenance of the same.