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Puja Dudeja, Apoorva Sindhu, Pooja Shankar, Tukaram Gadekar
INTRODUCTION: Reproductive health of adolescent girls is crucial as it determines the health of future generations. School girls when experiencing menarche find themselves in a setting without water, toilets or a supportive female teacher to explain the changes happening in their body. An important concern for adolescent girls is to have adequate, correct knowledge along with facilities and the cultural environment to manage menstruation hygienically and with dignity. Hence, the present study was done to assess knowledge and practices about menstruation in adolescent school girls of an urban slum...
October 14, 2016: International Journal of Adolescent Medicine and Health
Vu Duy Kien, Hoang Van Minh, Kim Bao Giang, Amy Dao, Le Thanh Tuan, Nawi Ng
BACKGROUND: The catastrophic health expenditure and impoverishment indices offer guidance for developing appropriate health policies and intervention programs to decrease financial inequity. This study assesses socioeconomic inequalities in catastrophic health expenditure and impoverishment in relation to self-reported non-communicable diseases (NCD) in urban Hanoi, Vietnam. METHODS: A cross-sectional survey was conducted from February to March 2013 in Hanoi, the capital city of Vietnam...
October 13, 2016: International Journal for Equity in Health
Saira Parveen Jolly, Mahfuzar Rahman, Kaosar Afsana, Fakir Md Yunus, Ahmed M R Chowdhury
BACKGROUND: A continuous influx of poor people to urban slums poses a challenge to Bangladesh's health system as it has failed to tackle maternal morbidity and mortality. BRAC is the largest non-governmental organisation in Bangladesh. BRAC has been working to reduce maternal, neonatal and under-five children morbidity and mortality of slum dwellers in cities. BRAC has been doing this work for a decade through a programme called MANOSHI. This programme provides door-to-door services to its beneficiaries through community health workers (CHWs) and normal delivery service through its delivery and maternity centres...
2016: PloS One
Jiangzhuo Chen, Shuyu Chu, Youngyun Chungbaek, Maleq Khan, Christopher Kuhlman, Achla Marathe, Henning Mortveit, Anil Vullikanti, Dawen Xie
OBJECTIVES: This research studies the impact of influenza epidemic in the slum and non-slum areas of Delhi, the National Capital Territory of India, by taking proper account of slum demographics and residents' activities, using a highly resolved social contact network of the 13.8 million residents of Delhi. METHODS: An SEIR model is used to simulate the spread of influenza on two different synthetic social contact networks of Delhi, one where slums and non-slums are treated the same in terms of their demographics and daily sets of activities and the other, where slum and non-slum regions have different attributes...
2016: BMJ Open
Helen Elsey, Shraddha Manandah, Dilip Sah, Sudeepa Khanal, Frances MacGuire, Rebecca King, Hilary Wallace, Sushil Chandra Baral
BACKGROUND: Communities in urban slums face multiple risks to their health. These are shaped by intermediary and structural determinants. Gaining a clear understanding of these determinants is a prerequisite for developing interventions to reduce the health consequences of urban poverty. With 828 million people living in slum conditions, the need to find ways to reduce risks to health has never been greater. In many low income settings, the kitchen is the epicentre of activities and behaviours which either undermine or enhance health...
2016: PloS One
Jessica Cohen, Ginger Golub, Margaret E Kruk, Margaret McConnell
Despite poverty and limited access to health care, evidence is growing that patients in low-income countries are taking a more active role in their selection of health care providers. Urban areas such as Nairobi, Kenya offer a rich context for studying these "active" patients because of the large number of heterogeneous providers available. We use a unique panel dataset from 2015 in which 402 pregnant women from peri-urban (the "slums" of) Nairobi, Kenya were interviewed three times over the course of their pregnancy and delivery, allowing us to follow women's care decisions and their perceptions of the quality of care they received...
September 22, 2016: Preventive Medicine
Robert E Snyder, Mariel A Marlow, Melissa E Phuphanich, Lee W Riley, Ethel Leonor Noia Maciel
BACKGROUND: Brazil's National Tuberculosis Control Program seeks to improve tuberculosis (TB) treatment in vulnerable populations. Slum residents are more vulnerable to TB due to a variety of factors, including their overcrowded living conditions, substandard infrastructure, and limited access to healthcare compared to their non-slum dwelling counterparts. Directly observed treatment (DOT) has been suggested to improve TB treatment outcomes among vulnerable populations, but the program's differential effectiveness among urban slum and non-slum residents is not known...
2016: BMC Infectious Diseases
Sophie M Goudet, Elizabeth W Kimani-Murage, Frederick Wekesah, Milka Wanjohi, Paula L Griffiths, Barry Bogin, Nyovani J Madise
OBJECTIVE: Children in slums are at high risk of undernutrition, which has long-term negative consequences on their physical growth and cognitive development. Severe undernutrition can lead to the child's death. The present paper aimed to understand the causes of undernutrition in children as perceived by various groups of community members in Nairobi slums, Kenya. DESIGN: Analysis of ten focus group discussions and ten individual interviews with key informants...
September 20, 2016: Public Health Nutrition
Charu Kohli, Kalika Gupta
OBJECTIVE: To assess average out of expenditure incurred on hypertension management and treatment seeking behaviour among patients in Delhi, India. DESIGN AND METHOD: A community based cross sectional study was conducted in rural and urban slum areas of Delhi to select a total of 160 (142 rural and 18 urban slum) hypertension patients. These patients were detected from the cross sectional screening survey among 200 adults in urban area and 1005 in rural area selected by systematic random sampling...
September 2016: Journal of Hypertension
Ali Nasir Siddiqui, Khalid Umer Khayyam, Manju Sharma
Despite successful implementation of directly observed treatment, short course (DOTS) in India, the growing number of diabetes mellitus (DM) patients appears to be a cause in the increasing tuberculosis (TB) incidence, affecting their management. In this regard, a prospective study was conducted on DOTS patients in three primary health care centers in urban slum region of South Delhi, India, to evaluate the effect of DM on sputum conversion, treatment outcome, and adverse drug reactions (ADR) due to anti-TB treatment...
2016: BioMed Research International
Nadine Shaanta Murshid, Allison Zippay
This study explores the experiences of marital violence within the context of microfinance participation among a sample of women living in poverty in Bangladesh. Status inconsistency theory suggests that the higher incomes and female independence that may occur with microfinance participation may threaten or destabilize marital norms in Bangladesh, and have implications in terms of increased violence. We use qualitative data from in-depth interviews with 30 women residing in a slum in Dhaka, Bangladesh, to assess the circumstances in which there may be an association between microfinance participation and marital violence and elucidate the context in which this interaction occurs...
September 15, 2016: Violence Against Women
Sumina Shrestha, Monika Shrestha, Rajendra Raj Wagle, Gita Bhandari
BACKGROUND: Immunization is one of the most effective health interventions averting an estimated 2-3 million deaths every year. In Nepal, as in most low-income countries, infants are immunized with standard WHO recommended vaccines. However, 16.4 % of children did not receive complete immunization by 12 months of age in Nepal in 2011. Studies from different parts of the world showed that incomplete immunization is even higher in slums. The objective of this study was to identify the predictors of incompletion of immunization among children aged 12-23 months living in the slums of Kathmandu Valley, Nepal...
2016: BMC Public Health
Jeevan Lal Matawle, Shamsh Pervez, Anjali Shrivastava, Suresh Tiwari, Pallavi Pant, Manas Kanti Deb, Diwan Singh Bisht, Yasmeen F Pervez
PM2.5 concentrations were measured in residential indoor environment in slums of central India during 2012-2013. In addition, a suite of chemical components including metals (Al, K, Ca, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Cd, Pb, Mo, Se, Sb, Na, Mg, K and Hg), ions (Na(+), Mg(2+), K(+), Ca(2+), F(-), Cl(-), NH4 (+), NO3 (-) and SO4 (2-)) and carbon (OC and EC) were analyzed for all samples. Indoor PM2.5 concentrations were found to be several folds higher than the 24-h national ambient air quality standard (60 µg/m(3)) for PM2...
September 10, 2016: Environmental Geochemistry and Health
Bidyut K Sarkar, Lion Shahab, Monika Arora, Jasjit S Ahluwalia, K Srinath Reddy, Robert West
INTRODUCTION: The existence of a social gradient in tobacco use has been clearly established in a number of countries with people with lower socioeconomic status being more likely to use tobacco. It is not clear how far this gradient is evident within severely deprived communities. This study assessed the association between occupation as a marker of socioeconomic status and use of smoked and smokeless tobacco within "slum" areas of Delhi, India. METHODS: A census survey of 11 888 households, comprising 30 655 adults from 28 low-income communities (14 government-authorized and 14 unauthorized settlements called "Jhuggi-Jhopri/JJ" clusters) was conducted in 2012...
August 23, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Jay G Silverman, Donta Balaiah, Julie Ritter, Anindita Dasgupta, Sabrina C Boyce, Michele R Decker, D D Naik, Saritha Nair, Niranjan Saggurti, Anita Raj
BACKGROUND: Intimate partner violence (IPV) victimization is linked to a broad range of negative maternal health outcomes. However, it is unclear whether IPV is directly related to poor maternal outcomes or whether IPV is a marker for other forms of chronic, mundane maltreatment of women that stem from the culture of gender inequity that also gives rise to IPV. To determine the prevalence of non-violent forms of gender-based household maltreatment by husbands and in-laws (GBHM), and violence from in-laws (ILV) and husbands (IPV) against women during the peripregnancy period (during and in the year prior to pregnancy); to assess relative associations of GBHM, ILV and IPV with maternal health...
2016: Reproductive Health
A Vigneswari, R Manikandan, K Satyavani, S Archana, R Rajeswari, Vijay Viswanathan
OBJECTIVE: The objective of the study was to assess the prevalence of risk factors of diabetes among urban poor population in Chennai, Tamil Nadu, South India. STUDY AND METHODS: A cross-sectional study was conducted from Dec-2010 to Feb-2011 in Chennai city. Five hundred twenty-nine subjects aged above 18 years (409 women and 120 men) habitants of three slums were randomly selected. A structured questionnaire was used to collect the socio-demographic and clinical information...
October 2015: Journal of the Association of Physicians of India
Badeia Jawhari, Dave Ludwick, Louanne Keenan, David Zakus, Robert Hayward
BACKGROUND: The intent of this review is to discover the types of inquiry and range of objectives and outcomes addressed in studies of the impacts of Electronic Medical Record (EMR) implementations in limited resource settings in sub-Saharan Africa. METHODS: A state-of-the-art review characterized relevant publications from bibliographic databases and grey literature repositories through systematic searching, concept-mapping, relevance and quality filter optimization, methods and outcomes categorization and key article analysis...
2016: BMC Medical Informatics and Decision Making
Mohammad Yousuf Mubarak, Abram L Wagner, Mari Asami, Bradley F Carlson, Matthew L Boulton
BACKGROUND: Sustained civil and military conflict, resulting in large numbers of internally displaced persons (IDP), in combination with rapid urbanization has strained public health and sanitation within cities in Afghanistan. In order to examine the association between preventive sanitary behaviors and diarrhea within two high risk settings located within Kabul, Afghanistan, this study aimed to evaluate the prevalence of hygienic practices and diarrheal illness in an IDP camp and an urban slum...
2016: BMC Infectious Diseases
Badeia Jawhari, Louanne Keenan, David Zakus, Dave Ludwick, Abraam Isaac, Abdullah Saleh, Robert Hayward
OBJECTIVE: Rapid urbanization has led to the growth of urban slums and increased healthcare burdens for vulnerable populations. Electronic Medical Records (EMRs) have the potential to improve continuity of care for slum residents, but their implementation is complicated by technical and non-technical limitations. This study sought practical insights about facilitators and barriers to EMR implementation in urban slum environments. METHOD: Descriptive qualitative method was used to explore staff perceptions about a recent open-source EMR deployment in two primary care clinics in Kibera, Nairobi...
October 2016: International Journal of Medical Informatics
Pete Driezen, Abu S Abdullah, Nigar Nargis, A K M Ghulam Hussain, Geoffrey T Fong, Mary E Thompson, Anne C K Quah, Steve Xu
This study assessed the knowledge of the harmful effects of tobacco use among vulnerable populations in Bangladesh and whether vulnerability was associated with the presence of complete home smoking bans. Data came from Wave 3 (2011-2012) of the International Tobacco Control (ITC) Bangladesh Survey, a nationally-representative survey of 3131 tobacco users and 2147 non-users. Socio-demographic measures of disadvantage were used as proxy measures of vulnerability, including sex, residential location, education and income...
2016: International Journal of Environmental Research and Public Health
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