Swapnil Shivam - Academia.edu (original) (raw)

Papers by Swapnil Shivam

Journal of Health, Population and Nutrition, 2014

Lack of appropriate human resources planning is an important factor in the inefficient use of the... more Lack of appropriate human resources planning is an important factor in the inefficient use of the public health facilities. Workforce projections can be improved by using objective methods of staffing needs based on the workload and actual work undertaken by workers, a guideline developed by Peter J. Shipp in collaboration with WHO-Workload Indicators of Staffing Need (WISN). A cross-sectional study was carried out to estimate the nursing stuff requirement for the rural hospitals and provide a quantitative description of imbalances, if there is any, in the allocation at the district level during 2011. The average WISN turns out to be 0.35 for entire district, which means only 35% of the required nurses is available or 65% understaffed. So, there is an urgent need for more allocations and deployment of staff so that workload can be tackled and evenly distributed among all nursing personnel.

tals worldwide have occupancy of around 100 % or higher. The problem of overcrowding leads to hig... more tals worldwide have occupancy of around 100 % or higher. The problem of overcrowding leads to high rates of hospital-acquired infections and unnec-essary re-admission in hospital, compounded by high nursing workload, results in vicious circle of poor quality of care. Governments should commit to achieving safe staffing across the continuum of care to ensure quality service (4). Presently, policy-makers in India are concerned about both efficiency and equity in the use of re-sources in the health sector. In the task of making estimation for the existing and projected manpow-er needs in the health sector, there are a number of problems, such as (a) highly-inadequate infor-mation system in health; (b) lack or laxity in reg-istration systems and current stock; (c) inadequate information on supply; (d) lack of information on migration, death rates, and attrition on other grounds; and (e) methodological problems relat-ing to estimation of manpower requirements (5). Ef-forts should be unde...

The Indian Journal of Medical Research, 2014

Background & objectives: Information on predictors of quitting behaviour in adult tobacco users i... more Background & objectives: Information on predictors of quitting behaviour in adult tobacco users is scarce in Indian context. Hence, this study was undertaken to assess the intention of tobacco-users towards quitting and its predictors with reference to nicotine dependence. Methods: A community-based observational, cross-sectional study was conducted on 128 adult tobacco-users (89.8% male) with mean age of 41.1 ± 15.7 yr selected by complete enumeration method. Data were collected by interview using pre-designed, pre-tested schedule. Nicotine dependence was assessed by Fagerström Test for Nicotine Dependence (FTND) questionnaire. Result: Of the 128 users, 63.3 per cent had intention to quit. Majority of the tobacco users who did not intend to quit belonged to the age group of >40 yr (66.0%), were illiterate (55.3%), started tobacco use at 11 – 15 yr of age (57.4%), had been using tobacco for 20 yr or more (70.2%), were daily tobacco users (91.5%), and highly dependent on nicotine ...

TAF Preventive Medicine Bulletin, 2014

AIM: In India, RNTCP reports more male tuberculosis patients than female. In this study we aimed ... more AIM: In India, RNTCP reports more male tuberculosis patients than female. In this study we aimed to find out the gender differences in clinical presentation and treatment outcome. METHOD: A record based study was conducted in Bhatar tuberculosis unit of Burdwan district among 758 registered tuberculosis patients of November 2010 to December 2011. Data were analyzed by SPSS software. RESULT: Male was 76.1%, female was 23.9% with male preponderance in each age group. In category I, majority of the male and female patients were new sputum smear positive. In category II, majority of the male and female patients belonged to relapse (35.8%) and other group (69.2%) respectively. Cure rate and treatment completion rate was more among males and females respectively. In category I, female defaulters were more, while in category II, male defaulter was higher. CONCLUSION: Integrated research is necessary to find out these differences that will be helpful in improving the efficacy of the programme.

Sahel Medical Journal, 2014

Journal of health, population, and nutrition, 2014

The Indian journal of medical research, 2014

Information on predictors of quitting behaviour in adult tobacco users is scarce in Indian contex... more Information on predictors of quitting behaviour in adult tobacco users is scarce in Indian context. Hence, this study was undertaken to assess the intention of tobacco-users towards quitting and its predictors with reference to nicotine dependence. A community-based observational, cross-sectional study was conducted on 128 adult tobacco-users (89.8% male) with mean age of 41.1 ± 15.7 yr selected by complete enumeration method. Data were collected by interview using pre-designed, pre-tested schedule. Nicotine dependence was assessed by Fagerstrφm Test for Nicotine Dependence (FTND) questionnaire. Of the 128 users, 63.3 per cent had intention to quit. Majority of the tobacco users who did not intend to quit belonged to the age group of > 40 yr (66.0%), were illiterate (55.3%), started tobacco use at 11 - 15 yr of age (57.4%), had been using tobacco for 20 yr or more (70.2%), were daily tobacco users (91.5%), and highly dependent on nicotine (80.9%). Tobacco users having high FTND s...

Journal of Research in Medical Education & Ethics, 2014

International Journal of Medical Science and Public Health, 2014

Background: The first two years of life involve rapid physical, cognitive and social development ... more Background: The first two years of life involve rapid physical, cognitive and social development that requires optimal nutrition. Tribal populations are the most backward section of the society. In West Bengal, the Santal tribe contributes to 51.8% Scheduled Tribe population of the state. Aims & Objective: The present study was conducted to assess infant and young child feeding practice among Santal women in Bhatar block of Burdwan District, West Bengal in India. Materials and Methods: It was a descriptive study of cross-sectional design. Bhatar block was purposively selected and 10 villages inhabited by Santals were chosen purposively. Data were collected by interview method using a pre-designed pre-tested schedule from 120 mothers having children of 0-23 months of age. WHO indicators for assessing infant and child feeding practices were used. Results: Breast feeding was initiated within one hour of birth in 48.33% cases, 46.15% babies were exclusively breastfed and in 47.37 % cases breastfeeding was continued at 1 year of the baby. Solid, semisolid or soft foods were correctly introduced at 6-8 months in 46.67% infants. Only 30.85% mothers maintained minimum dietary diversity while 41.49% mothers maintained minimum meal frequency. Conclusion: The poor status of indicators of Infant and child feeding practice found in present study may be attributed to high rate of illiteracy and poor socioeconomic condition among Santal women. Therefore intense total literacy campaign, income generating activities and health education by health personnel is the need of the day.