Dr. Ateendra Jha | Rajiv Gandhi University of Health Sciences (original) (raw)
Papers by Dr. Ateendra Jha
Self-medication is the use of prescription drugs to treat self-recognized disorders or symptoms, ... more Self-medication is the use of prescription drugs to treat self-recognized disorders or symptoms, including the occasional or continued use of medicines listed in a previous/outdated prescription issued by physicians. Illiteracy, semi-literacy, previous experience of success, low physician population ratio, lack of patient counselling and poor regulatory rigour are among the many reasons for self-medication. High physician-consulting fee and inaccessibility to physicians also promote self-medication, particularly among the rural poor. This study evaluated (with illustrative case studies) public opinion on self-medication, chiefly to create awareness about self-medication among both healthcare professionals and the lay public. A survey of only one question “Self-Medication Kills or Heals?” was sent online through various modes of communication. 624 responses were collected. Relevant cases were collected by following up cases of self-medication associated adverse events over a period of one year. 51.9% responses claimed that self-medication sometimes kills but mostly heals, while 15.1% said that it sometimes heals but mostly kills. 33% said that self-medication kills. In a case of steroid self-medication, the patient was totally immobile due to high bone-fragility. In another instance, continuous self-administration of domperidone led to galactorrhea and self-administration of amitriptyline for two months (without follow up) resulted in seizures. Self-modification of Methotrexate dosing schedule from once a week to once daily led to immunosuppression and bone marrow suppression. In a unique case of self-medication, an ENT doctor misdiagnosed his dengue fever as malaria and self-treated, leading to death from multiple organ failure. Self-medication is a critical healthcare issue in India. Major reasons for self-medication are poorly implemented regulation of drug dispensing and advertising, lack of proper patient counseling, overworked physicians, poor access to physicians, poorly recognized role of trained pharmacists in patient counselling and ignorance among the lay public on health issues.
Many developing countries are facing a crisis in human health resources due to a critical shortag... more Many developing countries are facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.
World is facing a crisis in human health resources due to a critical shortage of health workers. ... more World is facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.
Introduction: Human Immunodeficiency Virus (HIV) that reasons Acquired Immunodeficiency Syndrome... more Introduction: Human Immunodeficiency Virus (HIV) that reasons Acquired
Immunodeficiency Syndrome (AIDS) has become one of the world's most alarming health-
related problem. In developing countries like India AIDS have not only impact on physical
health but also have retarding impact on Social and Psychological status of patients. People
living with HIV/AIDS (PLWHA) may lose career, income, and even friends and family
members as significant resources of assistance and support. The quality and organization ...
Objective: To evaluate the drug utilization pattern of anti-diabetic agents with respect to glyco... more Objective: To evaluate the drug utilization pattern of anti-diabetic agents with respect to glycosylated
hemoglobin A1c (HbA1c) level in a Type 2 diabetes patient with complication. ... Methods: This
retrospective observational study was conducted as per the protocol approved by the Institutional
Ethics Committee. The patients diagnosed with Type 2 diabetes mellitus with complication were
identified, and those who had measured HbA1c level during previous follow ups were included
in the study. All demographic, drug prescriptions, and clinical data of patients were ...
It explains journey of India in mathematics.....
Publication by Dr. Ateendra Jha
Conference Presentations by Dr. Ateendra Jha
World is facing a crisis in human health resources due to a critical shortage of health workers.... more World is facing a crisis in human health resources due to a critical shortage of health workers. The shortage is compounded by a high burden of infectious diseases; emigration of trained professionals; difficult working conditions and low motivation. For example, the burden of HIV/AIDS has led to the concept of task shifting being increasingly promoted as a way of rapidly expanding human resource capacity. This refers to the delegation of medical and health service responsibilities from higher to lower cadres of health staff, in some cases nonprofessionals. Gaps still exist with respect to health programmes, which are unevenly delivered, with rural areas being particularly under-serviced; insufficient support for health care in health care services; and irregular and inconsistent identification and treatment of more common communicable diseases such as depression and anxiety disorders.The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals2.
Self-medication is the use of prescription drugs to treat self-recognized disorders or symptoms, ... more Self-medication is the use of prescription drugs to treat self-recognized disorders or symptoms, including the occasional or continued use of medicines listed in a previous/outdated prescription issued by physicians. Illiteracy, semi-literacy, previous experience of success, low physician population ratio, lack of patient counselling and poor regulatory rigour are among the many reasons for self-medication. High physician-consulting fee and inaccessibility to physicians also promote self-medication, particularly among the rural poor. This study evaluated (with illustrative case studies) public opinion on self-medication, chiefly to create awareness about self-medication among both healthcare professionals and the lay public. A survey of only one question “Self-Medication Kills or Heals?” was sent online through various modes of communication. 624 responses were collected. Relevant cases were collected by following up cases of self-medication associated adverse events over a period of one year. 51.9% responses claimed that self-medication sometimes kills but mostly heals, while 15.1% said that it sometimes heals but mostly kills. 33% said that self-medication kills. In a case of steroid self-medication, the patient was totally immobile due to high bone-fragility. In another instance, continuous self-administration of domperidone led to galactorrhea and self-administration of amitriptyline for two months (without follow up) resulted in seizures. Self-modification of Methotrexate dosing schedule from once a week to once daily led to immunosuppression and bone marrow suppression. In a unique case of self-medication, an ENT doctor misdiagnosed his dengue fever as malaria and self-treated, leading to death from multiple organ failure. Self-medication is a critical healthcare issue in India. Major reasons for self-medication are poorly implemented regulation of drug dispensing and advertising, lack of proper patient counseling, overworked physicians, poor access to physicians, poorly recognized role of trained pharmacists in patient counselling and ignorance among the lay public on health issues.
Many developing countries are facing a crisis in human health resources due to a critical shortag... more Many developing countries are facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.
World is facing a crisis in human health resources due to a critical shortage of health workers. ... more World is facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.
Introduction: Human Immunodeficiency Virus (HIV) that reasons Acquired Immunodeficiency Syndrome... more Introduction: Human Immunodeficiency Virus (HIV) that reasons Acquired
Immunodeficiency Syndrome (AIDS) has become one of the world's most alarming health-
related problem. In developing countries like India AIDS have not only impact on physical
health but also have retarding impact on Social and Psychological status of patients. People
living with HIV/AIDS (PLWHA) may lose career, income, and even friends and family
members as significant resources of assistance and support. The quality and organization ...
Objective: To evaluate the drug utilization pattern of anti-diabetic agents with respect to glyco... more Objective: To evaluate the drug utilization pattern of anti-diabetic agents with respect to glycosylated
hemoglobin A1c (HbA1c) level in a Type 2 diabetes patient with complication. ... Methods: This
retrospective observational study was conducted as per the protocol approved by the Institutional
Ethics Committee. The patients diagnosed with Type 2 diabetes mellitus with complication were
identified, and those who had measured HbA1c level during previous follow ups were included
in the study. All demographic, drug prescriptions, and clinical data of patients were ...
It explains journey of India in mathematics.....
World is facing a crisis in human health resources due to a critical shortage of health workers.... more World is facing a crisis in human health resources due to a critical shortage of health workers. The shortage is compounded by a high burden of infectious diseases; emigration of trained professionals; difficult working conditions and low motivation. For example, the burden of HIV/AIDS has led to the concept of task shifting being increasingly promoted as a way of rapidly expanding human resource capacity. This refers to the delegation of medical and health service responsibilities from higher to lower cadres of health staff, in some cases nonprofessionals. Gaps still exist with respect to health programmes, which are unevenly delivered, with rural areas being particularly under-serviced; insufficient support for health care in health care services; and irregular and inconsistent identification and treatment of more common communicable diseases such as depression and anxiety disorders.The World Health Organization advocates task-shifting, the process of delegating clinical care functions from more specialized to less specialized health workers, as a strategy to achieve the United Nations Millennium Development Goals2.