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Janet Yuen Ha Wong, Maggie Mee Kie Chan, Kris Yuet Wan Lok, Fei Wan Ngai, Michelle Tsz Ha Pang, Claudia Kor Yee Chan, Jessie Ho Yin Yau, Edmond Pui Hang Choi, Shirley Siu Ming Fong
AIMS AND OBJECTIVES: The aim of this study was to assess a community-women health ambassadors program and report the areas that were successful and those that required improvement. The objectives were to assess the feasibility, effectiveness, implementation, and sustainability of the program. BACKGROUND: Health promotion for the prevention of chronic diseases has always been the top priority in the health sector. In order to ensure that the relevant health messages are well-received in local communities, a health promotion program must be accessible, acceptable, and culturally relevant...
November 9, 2016: Journal of Clinical Nursing
Karen Sarmento Costa, Noemia Urruth Leão Tavares, Sotero Serrate Mengue, Marco Aurélio Pereira, Deborah Carvalho Malta, Jarbas Barbosa da Silva
OBJECTIVE: to describe the proportion of hypertensive and diabetic patients who reported getting medicines to control these diseases via the Brazilian People's Pharmacy Program, according to sociodemographic factors. METHODS: this was a population-based descriptive study using 2013 National Health Survey data on individuals aged over 18 years. RESULTS: around one third of hypertensive individuals (35.9%; 95%CI 34.1-37.7) and more than half of those with diabetes (57...
January 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Roberto Nuño-Solinís, Edurne Alonso-Morán, Jose M Arteagoitia Axpe, Patxi Ezkurra Loiola, Juan F Orueta, Sonia Gaztambide
OBJECTIVE: The aim of the study was to estimate the direct costs of healthcare provided to patients with type 2 diabetes mellitus (T2DM) in the Basque Country and to compare them with those of the population with chronic diseases. MATERIAL AND METHODS: A retrospective, cross-sectional, population-based study. Direct healthcare costs for patients aged over 35 years diagnosed with T2DM in the Basque Country (n=126,894) were calculated, stratified by age, sex and deprivation index, and compared to the costs for the population diagnosed with a chronic disease other than T2DM (n=1,347,043)...
December 2016: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Boris Kauhl, Jürgen Schweikart, Thomas Krafft, Andrea Keste, Marita Moskwyn
BACKGROUND: The provision of general practitioners (GPs) in Germany still relies mainly on the ratio of inhabitants to GPs at relatively large scales and barely accounts for an increased prevalence of chronic diseases among the elderly and socially underprivileged populations. Type 2 Diabetes Mellitus (T2DM) is one of the major cost-intensive diseases with high rates of potentially preventable complications. Provision of healthcare and access to preventive measures is necessary to reduce the burden of T2DM...
November 3, 2016: International Journal of Health Geographics
Rahmatollah Moradzadeh, Haidar Nadrian, Farzaneh Golboni, Mohammad Hasan Kazemi-Galougahi, Nasrin Moghimi
Background: Considering the renewed emphasis on women's health, attention to the new aspects of their health, such as equity, among different groups is warranted. The aim of this study was to investigate the economic inequalities among women with osteoporosis-related bone fractures (ORBFs) in Sanandaj, Iran. Methods: In this cross-sectional study, convenient sampling was employed to recruit 220 women with osteoporosis referring to the only rheumatology clinic in Sanandaj (the center of Kurdistan province in Iran) from January to April 2013...
2016: Health Promotion Perspectives
Sankalp Yadav, Gautam Rawal
Tuberculosis is an infectious disease and is a major health problem in developing countries like India. The disease is prevalent mainly in the underprivileged sections of the society. However, the same is not always true and even the well to do sections are also affected by this disease. The lack of knowledge in the masses and the communities is a factor that contributes largely to the spread of the disease. In such a scenario, there is always a need for new and innovative ideas to create mass awareness about tuberculosis...
2016: Pan African Medical Journal
Priscilla Masamba, Abiola Fatimah Adenowo, Babatunji Emmanuel Oyinloye, Abidemi Paul Kappo
In spite of various control measures and eradication methods that have been in progress, schistosomiasis still prevails as one of the most prevalent debilitating parasitic diseases, typically affecting the poor and the underprivileged that are predominantly concentrated in sub-Saharan Africa. The parasitic schistosome blood fluke responsible for causing the disease completes its complex developmental cycle in two hosts: humans and freshwater snails, where they physically undergo gross modifications to endure the different conditions associated with each host...
September 30, 2016: International Journal of Environmental Research and Public Health
Toan Nguyen, Fei Wen Cheong, Jonathan Wee Kent Liew, Yee Ling Lau
BACKGROUND: Despite the global effort against neglected tropical diseases (NTDs), developing countries with middle to low income are still burdened by them. Vietnam has been undergoing substantial economic growth and urbanization, but underprivileged people living in rural and suburban areas are still having little access to public health infrastructure and proper sanitation. Hitherto, limited information is available for seroprevalence and risk factors of several parasitic diseases in Vietnam...
2016: Parasites & Vectors
Nada A Abdelrahim, Hiba I Ahmed, Imad M Fadl-Elmula, Magdi A Bayoumi, Mamoun M Homeida
Sexually transmitted infections (STIs) are major health threats affecting people globally; however, the burden of STIs is greatest in low-income countries. Since they are physiologically more vulnerable, women are mostly affected. The risk is increased dramatically during pregnancy leading to serious health complications that may affect the newborn. Underprivileged pregnant women attending antenatal clinics for routine checkups in displaced camps, a women's prison and several peripheral health centres were clinically and laboratory screened for trichomoniasis, chlamydial infections, gonorrhea and syphilis...
August 31, 2016: International Journal of STD & AIDS
Joao H G Sa, Marina S Rebelo, Alexandra Brentani, Sandra J F E Grisi, Leonardo H Iwaya, Marcos A Simplicio, Tereza C M B Carvalho, Marco A Gutierrez
INTRODUCTION: Mobile health consists in applying mobile devices and communication capabilities for expanding the coverage and improving the effectiveness of health care programs. The technology is particularly promising for developing countries, in which health authorities can take advantage of the flourishing mobile market to provide adequate health care to underprivileged communities, especially primary care. In Brazil, the Primary Care Information System (SIAB) receives primary health care data from all regions of the country, creating a rich database for health-related action planning...
October 2016: International Journal of Medical Informatics
Hassan Hashemi, Payam Nabovati, Azam Malekifar, Abbasali Yekta, Hadi Ostadimoghaddam, Ebrahim Jafarzadehpur, Mehdi Khabazkhoob
PURPOSE: Studying the prevalence of astigmatism and its related factors in underprivileged rural areas in Iran. METHODS: Using random cluster sampling, two rural areas in the north and southwest of Iran were randomly selected, and 3851 persons over 1 year of age were invited to the study. In addition to recording demographics, retinoscopic refraction was conducted using baseline auto-refraction results. The prevalence of astigmatism was determined based on cylinder error cut-off points of 0...
August 29, 2016: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
Martine Lévesque, Alissa Levine, Christophe Bedos
Primary care practitioners are frequently unprepared to take into account the effects of social determinants on underprivileged patients' health and health management. To address this issue among dental professionals, an original onsite continuing education (CE) course on poverty was co-developed by researchers, dental professionals, and community organizations. Integrating patient narratives and a short film, course material aims to elicit critical reflection and provide coaching for practice improvements...
2016: Journal of Health Care for the Poor and Underserved
Pragya Pandey Wahengbam, Nandita Kshetrimayum, Brucelee Singh Wahengbam, Tanya Nandkeoliar, Daiasharailang Lyngdoh
INTRODUCTION: The World Health Organization global strategy of promoting oral health have shown vast improvements in developed countries but the scenario is glum among underprivileged communities due to lacunae in implementation of these promotional programs. Manipur, a North Eastern state in India, is one such marginalized area. AIM: The study aimed to evaluate Knowledge, Attitude and Practice (KAP) towards oral health in 15-18 year adolescents residing in Manipur together with the association of these variables to sociodemographic factors...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
Georgi Abraham, Madhusudan Vijayan, Rajalakshmi Ravi, Latha Kumaraswami, Malathy Venkatesan
Chronic kidney disease (CKD) is a major public health problem in India. The CKD registry of India has been formed to understand the epidemiology of CKD in India. Due to health economics in India, the majority of CKD-affected patients cannot afford renal replacement therapy (RRT) services. There is an unmet need to improve the awareness of kidney disease in India, and the focus should be on prevention and early detection of CKD by screening high risk populations. The Tamilnad Kidney Research (TANKER) Foundation is a charitable trust established in 1993 with the aim to improve awareness and provide quality affordable treatment to underprivileged patients...
2016: Clinical Nephrology
Vivek Kumar, Vivekanand Jha
The epidemiologies of chronic kidney disease (CKD) and end-stage renal disease (ESRD) in South Asia are not well defined. Small studies suggest that there is a predominant affliction of younger individuals and presence of risk factors beyond the traditional ones like diabetes and hypertension. The underprivileged poor who do not have access to healthcare facilities are affected disproportionately, present late, and lack means to afford treatment. Renal replacement therapy (RRT) is not widely available and is mostly delivered through expensive private-sector hospitals...
2016: Clinical Nephrology
Karine Ligier, Olivier Dejardin, Ludivine Launay, Emmanuel Benoit, Emmanuel Babin, Simona Bara, Bénédicte Lapôtre-Ledoux, Guy Launoy, Anne-Valérie Guizard
BACKGROUND: In the context of early detection of head and neck cancers (HNC), the aim of this study was to describe how people sought medical consultation during the year prior to diagnosis and the impact on the stage of the cancer. METHODS: Patients over 20 years old with a diagnosis of HNC in 2010 were included from four French cancer registries. The medical data were matched with data regarding uptake of healthcare issued from French National Health Insurance General Regime...
2016: BMC Cancer
Sherin Susan Paul, Prashant Hanumanthappa Ramamurthy, Rakesh Kumar, Mathew Ashirvatham, Kamala Russel John, Rita Isaac
AIM: To empower and bring the underprivileged senior citizens in the rural areas to the mainstream of life through setting up of model "senior citizens' recreation centers" that can be replicated in the other parts of the country. MATERIALS AND METHODS: Six senior citizens' recreation centers are run in six villages under a community health program of a leading Medical College in South India, which were started by looking into their perceived needs and in a location where organized self-help women groups (SHGs) showed willingness to take the role of caretakers...
July 2016: Indian Journal of Community Medicine
Eirik Abildsnes, Eivind Meland, Gro Beate Samdal, Tonje H Stea, Thomas Mildestvedt
AIMS: The aims of this study were to explore stakeholders' expectations of municipal Healthy Life Centers (HLCs) in Norway, and to evaluate whether these expectations were compatible with current guidelines and recommendations. METHODS: A multidisciplinary team of researchers arranged focus group sessions with Healthy Life Centre staff, municipality administration, county administration, general practitioners and representatives of three patient organizations. We audiotaped and transcribed the sessions verbatim...
June 23, 2016: Scandinavian Journal of Public Health
Pankajkumar A Kasar, Raghavan Nair Suresh Kumar, Vellappillil Raman Kutty
OBJECTIVES: To assess the impact of congenital heart surgery on anthropometric scores of growth in economically disadvantaged children. METHODS: A cohort of 100 economically disadvantaged children was followed up after cardiac surgery for their nutritional recovery. Weight, height and body mass index for age were measured just before surgery and at a median period of 48.1 months (range 9-59.9 months) after surgery. Z scores of the age-adjusted variables were computed and McNemar OR was calculated for odds of improvement...
2011: Heart Asia
A Bhat, T K Ray, J K Sahni
BACKGROUND: Though ear hygiene is important for proper hearing, it is usually neglected. Improper ear care practices may have serious consequences such as loss of hearing. In childhood, loss of hearing may affect learning and development. There is scarcity of information on ear care practices in the community in India. We aimed to ascertain the magnitude of problems related to aural hygiene and assess ear care practices among children of schoolgoing age in a resettlement colony of Delhi...
November 2015: National Medical Journal of India
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