3RD
INTERNATIONAL
CONFERENCE ON
PUBLIC HEALTH
“ M O V I N G P U B L I C H E A L T H R E S E A R C H T O
P O L I C Y A N D P R A C T I C E : L E S S O N S L E A R N E D ”
13 -14AUGUST 2020 - ONLINE
Book of Abstracts
3
rd
International Conference on Public Health 2020
(HealthConf 2020)
13th – 14th August 2020Committee of the HealthConf - 2020 IAR Conferences
Tel: +94(0) 77 224 1493 / +94(0) 117 020 784 iarconferences@gmail.com
ii
The responsibility for opinions expressed, in articles, studies and other contributions in this publication rests solely with their authors, and this publication does not constitute an endorsement by the HealthConf or IAR Conferences of the opinions so expressed in them. Official website of the conference
http://publichealthconferences.co/
Book of Abstracts of the 3rd International Conference on Public Health 2020 (HealthConf 2020)
Edited by Rekheetha Pathiranage and Others
ISBN: 978-955-3627-03-2
Copyright @ IAR Conferences
All rights are reserved according to the code of intellectual property act of Sri Lanka, 2003
Published by IAR Conferences
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IAR Conferences Organized by: IAR Conferences Academic partner:
Flinders Health and Medical Research Institute (FHMRI), Flinders University – Australia
PROF. JOHN FRANK (Conference Chairman, HealthConf 2020)
Public Health Research and Policy University of Edinburgh
United Kingdom
PROFESSOR PAUL WARD (Key-Note Speaker, HealthConf 2020)
Head,
Discipline of Public Health in the College of Medicine and Public Health
Flinders University Australia
DR. PRIYA KESHARI (Session Chair, HealthConf 2020)
Asst. Professor,
Department of Home Science Faculty of Science
University of Allahabad, India
Editorial Board
Mr. Rekheetha Pathiranage, IAR Conferences, Sri Lanka
The Editorial Board is not responsible for the content of any abstract.
Dr. Hayati Kadir Shahar , UPM – Malaysia
Dr. Nurulilyana Binti Sansuddin, Universiti Sains Malaysia, Malaysia Dr. A. Nanthini, National Institute of Health & Family Welfare, India
HealthConf 2020 Committee
Editorial Board - HealthConf - 2020
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Dr. Chitra Grace. A, Global Institute Of Public Health (Giph), India Dr. M. Prakash, SRM Institute of Science and Technology, India Dr. Anisah Baharom. UPM – Malaysia, Malaysia
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Table of Contents Page No
A Sociology Of The Covid-19 Pandemic: A Commentary And Research Agenda For Sociologists
Paul R Ward
02
01.Consumer Perceptivity Of The Sustainable Practices Of Hotels In India
Shikha S, Anupama M
05
02.Factors Associated With Early Post-Partum Hemorrhage In Castle Street Hospital For Women In Colombo, Sri Lanka
Koralage Tanika Gayani Kanchana
06
03.Understanding Factors That Affect The Acceptability Of New Methods To Reduce Dengue Incidence In The Philippines
Pernia, E. E
07
04.Reproductive Rights Of Adolescent Girls In A Village In West Bengal
Bagchi, K
08
05.Continuum Of Care In Maternal, Newborn And Child Health In Indonesia: Evidence From Indonesia Demographic And Health Survey
Andriani, H
10
06.Continued Care at Delivery in Indonesia: Analysis of Determinants from Indonesia Demographic and Health Survey
Rachmadani, S. D
11
07.Factors Associated With The Use Of Antenatal Care In Indonesia: A Population-Based Study
Natasha, V
12 Virtual Presentations
vi
Aiyenigba, A
09.Changing Pattern Of Health Care Services And The Role Of Women Health Activist: A Case Study In Dalkhola Municipality, Uttar Dinajpur, West Bengal
Chattopadhyay, J
15
10.Determinants Of The Training Program Given To Breast Cancer Survivors In Order To Improve Their Healthy Life Style Behaviors
Bahar KEFELİ ÇOL
16
11.Impact Of Occupational Stressors On Job Productivity
Pallewaththa, P
17
12.Practice Of Breakfast Skipping And Its Associated Factors Among Nursing Officers In The Colombo South Teaching Hospital Kalubowila
Gunarathna P. H. H. H
18
13.The Caregiver’s Ability To Dose Liquid Acetaminophen Formulations For Pediatrics
Senarath N.S.A.S.N
19
14.Knowledge And Awareness On Managing Malignant Fungating Wounds Among Nurses At National Cancer Institute, Sri Lanka
Kumari, W. A. K
20
15.Community Health Needs Assessment In North East Iowa, Usa: Emphasis On Obesity And Physical Inactivity
Sundaram, K
21
16.Elevated Bmi Did Not Worsen The Outcomes At One Year In Patients Presenting With Low Risk Chest Pain; Single Center Experience
Maher, L
22
17.Emotional Health Risk In Association To Back Pain In University Students
Amin, N. A.
vii
Rahul, S
19.K2talk: Media-Centered Education For Improving Adolescent Sexual And Reproductive Health Knowledge
Adreal Denver C.Monterona
26
20.Determination Of Peroxide Value In Repeatedly Heated Cooking Oil Collected From Night Market Food Sellers In Malaysia
Elias, S. M
27
21.Factors Associated With Higher Reported Pain Levels Among Female Patients With Traumatic Injuries Who Admitted To Accident Service In National Hospital Of Sri Lanka
Priyadarshani, U.G.N.
28
22.Effectiveness Of The Pharmacological Interventions On Abstinence Of Substance Abuse Disorder; Systematic Review
Jayamaha A. R
29
23.Factors Associated With Delayed Initiation Of Breastfeeding Among Mothers Who Delivered Their Babies At De Soysa Hospital For Women
Buddhini D.G.H
31
24.The Prevalence Of Non-Communicable Diseases And Selected Risk Factors Among Police Officers In Selected Medical Office Of Health Area, Sri Lanka.
Hettiarachchi H.A.W.L
32
25.Awareness, Attitude And Perceived Barriers Regarding Pain Management Methods Used During Normal And Assisted Deliveries Among Mothers Admitted To Labour Rooms In Castle Street Hospital For Women In Sri Lanka
Hansika H.K.M.
34
26.Filipino Adolescent Mothers’ Repeated Pregnancy Responses: Implications For Public Programs And Policies
Adreal Denver C. Monterona
viii
Elias, S. M
28.Knowledge, Attitude And Practice On Cervical Cancer And Screening Among Women In India: A Systematic Review
Taneja, N
38
29.Study Of Knowledge, Attitude, And Work-Life Balance In A Sri Lankan Population During Covid-19 Pandemic
Koralage Tanika Gayani Kanchana
39
30.Evaluation Of Covid-19 Contact Tracing App Of India – “Aarogya Setu” Using System Usability Scale
Rahul, S
41
31.Knowledge, Attitude And Practice Towards Covid-19 Among Patients With Associated Comorbidities
Saeed, S
42
32.Knowledge, Attitude, Practice, And Depressive Symptoms During Covid-19 Pandemic Among Residents Of India
Awasthi, A. A
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Welcome to the 3rd International Conference on Public Health – Health Conf 2020 with the theme “Moving Public Health Research to Policy and Practice: Lessons Learned” The Flinders Health and Medical Research Institute, Flinders University Australia is delighted to be an Academic Partner working with the Institute of Academic Researchers (IAR Conferences), - Sri Lanka hosting this virtual international conference.
I am confident that this virtual conference will bring about even greater opportunities to extend and expand the frontier of knowledge through public health and nutrition.
Therefore, I am hopeful that participants of Health Conf 2020 will make full use of the time that avails itself throughout the conference, to explore possibilities, seek solutions and address issues of common concern. After all, in a globalized landscape in which we are part of the picture, what transpires in one corner of the world, is likely to impact on fellow mankind dwelling in other parts of the planet.
To all keynote speakers, presenters and participants of Health Conf 2020, I wish you two days of fine openings to form new linkages and strengthen existing ones, while at the same time paving the way to learn new things, relearn old ways and unlearn past convention which impede the advancement of knowledge in public health.
Professor Paul Ward Head,
Discipline of Public Health in the College of Medicine and Public Health Flinders University
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A SOCIOLOGY OF THE COVID-19 PANDEMIC: A COMMENTARY AND RESEARCH AGENDA FOR SOCIOLOGISTS
Paul R Ward
Flinders University, Australia
ABSTRACT
During the early part of 2020, there has been an abundance of critically important research on Covid-19 from medical, epidemiological and virological disciplines. There is now an urgent need for sociologists to engage theoretically and empirically on the social impact of issues related to Covid-19. As we have moved further into 2020, governments around the world have imposed different types of restrictions on social life, in order to quell the spread of Covid-19 and ‘flatten the curve’. These have included imposing various degrees of social isolation and restrictions on things like social gatherings, travel, sport and leisure activities, and going to work/school/ university. This commentary explores the ways in which different branches of social theory can shed light on the implications of Covid-19 restrictions for social life ‘as we know it’. The broad fields of social theory in the commentary cover concepts such as risk, trust, fear, uncertainty and happiness. The process of developing the social theory driven research agenda contained within this commentary took a rather unusual route – it started by re-reading Jean-Paul Sartre’s ideas on existentialism, which led to me painting a visual sociology of Covid-19 (an image of my painting is provided), and ultimately to this piece.
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VIRTUAL
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[01]
CONSUMER PERCEPTIVITY OF THE SUSTAINABLE PRACTICES OF HOTELS IN INDIA
1Shikha Sharma, 2Anupama Mahajan
1Amity College of Commerce, Amity University, Haryana 2Bharati College, Department of Commerce, University of Delhi
ABSTRACT
With the world moving towards environmental degradation, companies and individuals alike are seeking ways and means to bring about environmental upgradation. The hotel industries is no exception to this phenomenon and so are the aware consumers and have participated actively in this growing trend by adopting the practice of sustainable measures. Hence, the hotels have left no stones unturned to respond well to the environmental issues and thus reduce their carbon footprint. But a point worth noting is whether their efforts have affected consumers or are the consumers aware? Therefore, this study aims to understand whether the consumers are aware of the sustainable practices being adopted by the hotels and their attitude towards these practices and their willingness to pay for the green services offered by the hotels. To achieve this aim, a quantitative research approach has been adopted where the data was collected from 447 customers who visited the hotels situated in India using a close-ended structured questionnaire. The correlation and regression results pointed out that firstly consumer attitude significantly explained the consumer willingness to pay premium towards sustainable practices, next consumer awareness also provided significantly positive explanation of variance in consumer attitude and finally it was also found that consumer awareness had significantly positive impact on their willingness to pay.
Keywords: Sustainable Practices, Hotels, Consumer Awareness, Consumer Attitude, Consumer Willingness to Pay
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[02]
FACTORS ASSOCIATED WITH EARLY POST-PARTUM HEMORRHAGE IN CASTLE STREET HOSPITAL FOR WOMEN IN COLOMBO, SRI LANKA.
K.T.G.Kanchana, R.N.M.Siriwardena, M.R.K.S.Jayathilaka, N.D.G.Batagoda, K.M.U.J.Indrawansha,
P.L.P.Jayathilaka, N.S.A.S.N. Senarath, KAATSU international University, Sri Lanka
ABSTRACT
Introduction: Post-Partum Hemorrhage (PPH) is the leading cause of maternal mortality globally. Globally, nearly one quarter of all maternal deaths are associated with PPH, and in most low-income countries it is the main cause of maternal mortality. The majority of these could be avoided by active management of third stage of labour, as well a prompt and effective PPH management, including the use of utero-tonics and fluid replacement. Methodology: The aim of the study was to assess the Factors associated with early Post-Partum Hemorrhage in Castle Street Hospital for Women in Colombo, Sri Lanka. Retrospective Cohort Study was done with the objective to identify and evaluate the risk factors for PPH at Castle Street Hospital for Women in Sri Lanka past 2017 and 2018 years. Data was collected using delivery record which is in the preserved BHT and data was extracted into a pre-tested data extraction sheet which consist of, Part A- Demographic data, Part B - Current antenatal and obstetric history, Part C - Past obstetric history, Part D - Past medical and surgical history, Part E - History of the current delivery. Data was analysed using SPSS 23 version in percentages and Chi squire test. Results: Majority 39.9% of mothers were educated up to secondary level and 33% of mothers were “O positive” in blood group. There were significant association between anemia, diabetes hypertension (p=0.001) and hyperthyroidism (p=0.009) conditions of the mothers’ with PPH. Method of delivery (p=0.001), duration of labour in normal vaginal delivery (p=0.001), vaginal tears (p=0.001), retained placenta (0.001) and Prostaglandin administration (p=0.001) were significant association with PPH. Conclusion: Identified risk factors for PPH were retained placenta, tears, prostaglandin administration and duration of vaginal lobour.
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[03]
UNDERSTANDING FACTORS THAT AFFECT THE ACCEPTABILITY OF NEW METHODS TO REDUCE DENGUE INCIDENCE IN THE PHILIPPINES
Pernia, E.E., May, B. S., Braganza, A. C., Borrero, G. B., & Borrero, M. F.
University of the Philippines Diliman, Philippines.
ABSTRACT
Increasing knowledge and favorable attitudes towards reducing risk of infection has been a goal for Dengue information, education, and communication (IEC) campaigns from the Health sector. In 2017, The University of the Philippines College of Mass Communication began collecting baseline demographic, economic, and sociological indicators of knowledge, attitudes, beliefs (KAPs), and practices towards Dengue infection from four research sites identified as having the highest concentration of reported Dengue cases in Metro Manila. Through the data collected, sociological profiles of household decision-makers and information gatekeepers who are likely to decide whether or not the InDAI trap is acceptable as an innovative means of reducing the risk of Dengue infection were created. The profile generated was validated during the second year of implementation and was used as a factor in formulating a set of IEC (information, education, and communication) material prototypes. These prototypes were created to aid not only in increasing knowledge and favorable attitudes, but also in affecting increased acceptability of the InDAI trap as the go-to approach towards reducing the risk of Dengue infection. Having identified economic factors (i.e., affordable if not free, and with minimal-to-zero maintenance expenses to worry about) as the main indicator of acceptability of new method to reducing Dengue infection risks, the project team consulted with HEPOs (Health Education and Promotion Officers) from the Department of Health and specialists from the other InDAI project teams (University of the Philippines-Manila College of Public Health, St. Luke's College of Medicine - William H. Quasha Memorial, and the Department of Health - Metro Manila Center for Health Development) for help in formulating science fact-based content for the IEC material prototypes.
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[04]
REPRODUCTIVE RIGHTS OF ADOLESCENT GIRLS IN A VILLAGE IN WEST BENGAL
K. Bagchi
University of Gour Banga, Malda, India
ABSTRACT
The International Conference on Population and Development (ICPD) Programme of Action claimed: “...reproductive health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when, and how often to do so. Implicit in this last condition are the rights of men and women to be informed and to have access to safe, effective, affordable, and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility…and the right of access to appropriate health-care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant.” There is a consensus in literature that adolescents in India, particularly the adolescent girls are vulnerable to sexual and reproductive health risks due to factors such as “their young age, their ignorance of matters related to sexuality and reproductive health, their lack of factual knowledge about menstrual cycle, intercourse, STI/HIV/AIDS, reproduction, contraception, and their inability or unwillingness to use most family planning and health services. Early pregnancy, induced or unsafe abortion, gender and sexual violence, reproductive tract infections and STI/HIV/AIDS are some of the risks associated with sexual activity under these circumstances. Adolescent girls are a particularly disadvantaged group in relation to sexual and reproductive health due to cultural norms mandating early marriage and early childbirth A great deal of adolescents’ knowledge, however, comes from informal communications with their peers and selected family members. I, however, conduct a field study among ten/twelve adolescent girls at the village of Bamangola in the district of Malda in West Bengal(India), in which I want to find
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out to what extent the reproductive rights of the adolescent girls at Bamangola are protected and/or violated.
Keywords: reproductive health, sexual health, adolescent girls, early marriage, early child-birth
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[05]
CONTINUUM OF CARE IN MATERNAL, NEWBORN AND CHILD HEALTH IN INDONESIA: EVIDENCE FROM INDONESIA DEMOGRAPHIC AND HEALTH
SURVEY
Andriani, H., Rachmadani, S.D., Natasha, V.
Universitas Indonesia/ Department of Health Policy and Administration, Faculty of Public Health, Indonesia.
ABSTRACT
Maternal and child health have improved considerably as a result of the Millennium Development Goals of the United Nations. Yet the rate of preventable deaths around the world is still high. Nevertheless, it was not enforced sufficiently in low- and middle-income countries, including Indonesia, where the lowest level of primary care is community-based, located in the villages, and provide primary health and preventive services. This paper aims to assess the relationships within the Continuum of Care (CoC) from Maternal, Neonatal, and Child Health (MNCH) services one level of care to the next in Indonesia, examine the distributions in the utilization of MNCH services, and further investigate the associations in the CoC for MNCH. We used data from the recent survey of Indonesia Demographic and Health Survey (IDHS), a nationally representative, large-scale and cross-sectional survey, conducted during 2017. The sample included ever married women aged 15–49 years who had given birth in the last five years prior to the survey, resulting in sample sizes of 15,288 respondents. Only 52.6% of women (n = 8,038) continued to receive all three levels of MNCH services. In multivariate analysis, women’s education, women’s employment, husband’s employment, parity, mass media consumption, household income, and distance to health facility for medical care were shown to have statistically significant associations with the continuation from having antenatal care to receiving postnatal care. In conclusion, the use of each level of MNCH care is correlated with the next level of care, i.e., antenatal care is associated with delivery care which is subsequently associated with postnatal care. Identifying populations that contribute significantly to overall health inequalities and a well-established follow-up system from pregnancy to postnatal care might help to enhance maternal and child health and equity outcomes.
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[06]
CONTINUED CARE AT DELIVERY IN INDONESIA: ANALYSIS OF
DETERMINANTS FROM INDONESIA DEMOGRAPHIC AND HEALTH SURVEY
Andriani, H., Rachmadani, S.D., Natasha, V.
Universitas Indonesia/ Department of Health Policy and Administration, Faculty of Public Health
ABSTRACT
The World Health Organization recommends for every pregnant woman and newborn to get quality care throughout the pregnancy, delivery, and postnatal period. Yet in 2015, Maternal Mortality Ratio (MMR) in Indonesia was 305 per 100,000 live births, this is far from Sustainable Development Goals target to reduce the global MMR to less than 70 per 100,000 live births. Receiving at least four times Antenatal Care (ANC4+) and a Skilled Birth Attendant (SBA) during childbirth are crucial to prevent maternal and neonatal deaths. This study aims to discover the continued care at delivery from ANC4+ to SBA during childbirth in Indonesia, evaluate the distribution of continued care at delivery services utilization, and find out the impact of continued care at delivery on Maternal, Neonatal, and Child Health (MNCH) outcomes. This study used the data from the Indonesia Demographic and Health Survey (IDHS), a national-scale cross-sectional survey that was held during 2017. Using the sample size of 15,288 respondents, this study involved ever-married women of reproductive age (15-49 years) who had given birth in the last five years preceding the survey. The results showed that 76,1% (n = 11,632) women in this survey had received ANC4+ and SBA during childbirth. Using multivariate analysis, it is shown that women’s age, age at first birth, women’s education, husband’s education, parity, mass media consumption, household income, distance to the health facility, and type of residence are the variables that have a statistically significant association with continued care at delivery. It is important to reinforce the health system to have strong quality care without financial and geographical barriers and empower the community to raise the awareness of having continued care at delivery.
Keywords: delivery, Indonesia, antenatal care, skilled birth attendants, population-based study
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[07]
FACTORS ASSOCIATED WITH THE USE OF ANTENATAL CARE IN INDONESIA: A POPULATION-BASED STUDY
Andriani, H., Rachmadani, S.D., Natasha, V.
Universitas Indonesia/ Department of Health Policy and Administration, Faculty of Public Health
ABSTRACT
Maternal and child health have been improved since United Nation (UN) released Millenium Development Goals (MDGs) as a responsibility for all countries. However, the number of maternal, neonatal, and child mortality is still high in developing countries, including Indonesia. Therefore, the UN released Sustainable Development Goals (SDGs) to accelerate and sustain the improvement in maternal and child health. Adequate antenatal care visits can be used as a barometer for SDGs to ensure coverage of maternal health services. The purpose of this paper is to find out the distribution of antenatal care utilization in Indonesia, determine the factors that associated with the use of antenatal care, and examine the use of antenatal care impact on Maternal, Neonatal, and Child Health (MNCH). We gathered data from Indonesia Demographic and Health Survey (IDHS), a national survey that was conducted in 2017 with a cross-sectional method. This survey represents the demographic and health characteristic nationally. The sample criteria of this survey were ever-married women aged 15-49 years who had given birth in the last 5 years, involving 15,288 women who became respondents of this study. From our research, 88,4% of women (n= 13,510) visited health facility for antenatal care at least four visits. Multivariate analysis showed that age, parity, household income, and distance from health facility to medical care have a significant association with the utilization of antenatal care. Antenatal care becomes the first step to achieve Continuum of Care (CoC) for MNCH. It is crucial to develop a health system to make antenatal care affordable and accessible for everyone to overcome maternal and child health problems.
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[08]
STRENGTHENING RESEARCH CAPACITIES AT INSTITUTIONAL LEVELS THROUGH INVESTING IN INDIVIDUALS: A CRITICAL CASE STUDY.
Aiyenigba A O, Abomo P, Bates I, Pulford J
DELTAS -LRP, Liverpool School of Tropical Medicine, UK
ABSTRACT
Research capacity strengthening (RCS) initiatives frequently involve the provision of intensive and high-quality training to individual researchers often within the context of an active research collaboration. How the home institutions of these well-trained individuals subsequently benefit is not well understood. This research explores this influence within the scope of the ‘DELTAS Africa’ health RCS initiative. We used comparative case studies drawn from three DELTAS Africa consortia, via semi-structured interviews and document reviews, to better understand how consortia-type individual research training impacts institutional capacity to conduct research, including its sustainability in the long term. Results showed shared commonalities across consortia of a strong RCS ethos and a commitment towards achieving a critical mass of researchers. Well-trained individuals were viewed as powerful agents of change to promote research culture and leadership. Institutional change regarding enhanced training provision was facilitated by 1. funding to support a dedicated training provider/support staff embedded in the partner institutions; 2. committed representation from partner institutions in higher-level decision-making; and 3. provision of infrastructure and training support budgets to partner institutions. Institutionally, consortia affiliation provided human resources and infrastructure for research activities. Nevertheless, activities relied heavily on existing funders with limited creativity regarding income generation, therefore sustainability of training initiatives at partner institutions remains under threat if funder support is withdrawn. This highlights the need to critically assess the benefits and challenges of the traditional approaches to RCS. We have made recommendations for meaningful engagement of local and regional institutions and stakeholders to sustain lasting RCS initiatives across SSA.
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Keywords: research capacity strengthening, training, LMIC, institutionalisation, research consortia.
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[09]
CHANGING PATTERN OF HEALTH CARE SERVICES AND THE ROLE OF WOMEN HEALTH ACTIVIST: A CASE STUDY IN DALKHOLA MUNICIPALITY,
UTTAR DINAJPUR, WEST BENGAL
Jayita Chattopadhyay
Shree Agrasen Mahavidyalaya, India
ABSTRACT
The right to health is generally State’s obligation to deliver affordable and accessible health services to all. It is believed that increasing access to health care services plays important role to promote and improve the condition of health of rural people and reduces health inequities. National Rural Health Mission (NRHM) recognises the importance of health as contributor of social and economic development of the society. In this regard, women health activist play important role to promote health care at household and act as the interface between the community and the public health system. The objective of this paper is to find out a scenario of changing pattern of health care services given by the women health activist in West Bengal in general and in Dalkhola Municipality in particular.
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[10]
DETERMINANTS OF THE TRAINING PROGRAM GIVEN TO BREAST CANCER SURVIVORS IN ORDER TO IMPROVE THEIR HEALTHY LIFE STYLE
BEHAVIORS
1Bahar KEFELİ ÇOL. 2Gülnihal TUFAN, 3Dr. Dilek KILIÇ
1Recep Tayyip Erdoğan University Guneysu Vocational School of Physical Therapy and
Rehabilitation, Rize, Turkey
2 Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara,
Turkey
3Atatürk University Nursing Faculty, Public Health Nursing Department, Erzurum, Turkey
ABSTRACT
Background: It is very important to explore the determinants effective upon the training given to breast cancer survivors in order to improve their healthy life styles and to plan the training using these determinants in order to maximize efficacy of the training. Objective: This study focused on exploring the determinants of the training given to breast cancer survivors in order to improve their healthy life styles. Methods: The study was a semi-experimental study. 43 breast cancer survivors were included in the study. A training was given to the women once a week for four weeks. Correlational analysis was used for data analysis. Results: The correlational analysis showed that after the training there was a negative correlation between age and physical activity, between time after diagnosis and nutrition and between time after diagnosis and mental development. Besides, a positive correlation was found between educational level and nutrition.
Conclusion: The current findings demonstrated that age, educational level and time after diagnosis were important determinants upon the training given in order to improve healthy life style.
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[11]
IMPACT OF OCCUPATIONAL STRESSORS ON JOB PRODUCTIVITY
1P Pallewaththa, 2B.M Wijesiri
1Department of Academic and Student Services, Bhiksu University of Sri Lanka, 2Faculty of Business and Finance, Wayamba University of Sri Lanka
ABSTRACT
Stress is a dynamic condition and stressors can be divided into three major route causes; environmental, organizational and personal factors. Three categories of organizational stressors can be identified; task demands, role demands, and interpersonal demands. Stress related consequences consist of three categories; physiological, psychological, and behavioural. Productivity comes under the stress related behavioural consequence. The general objective of the study was to investigate the impact of occupational stressors on job productivity of administrative staff in the newly established public sector universities of Sri Lanka. Hypothetical deductive method was used as the study design and newly established public sector universities were the study setting. Administrative staff was the target population and 92 administrative officers were selected to the sample based on the Krejcie & Morgon guideline. Data was collected via Likert scale structured questionnaire. Four hypotheses were developed. Data was analysed by using the SPSS package. Pearson’s correlation analysis was used to find the degree of association between each independent variables and the dependent variable. Regression analysis was performed to analyse the strength of impact of each independent variable on the dependent variable. In addition to that, determinant of coefficient (R2), Model summary, and ANOVA for multiple regression were utilized to analyse data. Positive relationships of favourable task demands, role demands and interpersonal demands with job productivity were observed. Variance in the job productivity was significantly explained by the variables associated. A new occupational stress framework was successfully developed and conducting longitudinal or interventional studies on the occupational stress are recommended.
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[12]
PRACTICE OF BREAKFAST SKIPPING AND ITS ASSOCIATED FACTORS AMONG NURSING OFFICERS IN THE COLOMBO SOUTH TEACHING
HOSPITAL KALUBOWILA
Gunarathna P. H. H. H, Makubura M. G. T. N, Hewawasam H. P. B. C. M, Dilukshi K. H. T, Perera A. C. H
KIU, Sri Lanka
ABSTARCT
Breakfast is the most important meal of the day which helps to start metabolism by providing the energy and the nutrients required by the body. Breakfast skipping by nursing officers can negatively affect their health status and also the patient care. A descriptive cross-sectional study was conducted using a randomized sample of 384 nursing officers, aged 23-60 years, in the Colombo South Teaching Hospital, Kalubowila. A self-administered questionnaire and validated measuring scales were used to collect data. Data was analyzed by using descriptive statistics and Chi-square test in SPSS version 23. Results indicated that 12.2% of the participants had skipped their breakfast as a practice while 48.2% skipped sometimes, 21.4% skipped occasionally and 18.2% had never done it. During the period of 14 days prior to data collection, 42.7% and 40.0% nursing officers had skipped their breakfast 1-3 times and > 4 times, respectively. Of those who skipped breakfast more than 4 times, some had done it due to lack of time (31%) while another 48% had reported having a brunch instead of the breakfast. Age was associated with the practice of breakfast skipping (p=0.042) and the number of times skipping the breakfast (p=0.021) during the 14-day period of the study. Similarly, marital status was also associated with the practice of breakfast skipping (p=0.007) and the number of times skipping breakfast (p=0.003). No association was found between gender (p = 0.675), occupational category (p=0.785) and the method of preparing meal (p=0.168) with the practice of breakfast skipping. According to the BMI, 53% was normal, 36% was overweight or obese and 10% was underweight but BMI was not associated with the practice of breakfast skipping (p=0.291). It can be concluded that nursing officers should be educated on the importance of breakfast and the consequences of breakfast skipping.
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[13]
THE CAREGIVER’S ABILITY TO DOSE LIQUID ACETAMINOPHEN FORMULATIONS FOR PEDIATRICS
1Senarath N.S.A.S.N, 2Abeygunasekara U.W.A.T, 3Jayasinghe S.S
1Department of Nursing, Faculty Health Science, KIU, Sri Lanka
2Department of Nursing, Faculty of Allied Health Science, University of Ruhuna, Sri Lanka 3Department of Pharmacology, Faculty of Medicine, University of Ruhuna, Sri Lanka
ABSTRACT
Acetaminophen (Paracetamol) is most popular, safe antipyretic and analgesics used for pediatrics. The childhood fever is common indication and the over-the-counter availability lead to expand the usage by keeping at home. The administration of before or without seeking the medical advice is common and associated therapeutic misadventure cause to overdosing. Despite the safety, overdose leads to liver damage. The liquid dosing is most challenging due to the using incorrect measuring devices, unit dose confusing, poor health literacy on dosing and identifying the concentration of product. A community based descriptive cross-sectional study was conducted in Bope-Poddala Medical of Health, Galle, Sri Lanka to determine caregiver’s ability to acetaminophen dosing at home practice. All participants (n=162) used acetaminophen syrup at home practice and revealed that very poor caregiver’s knowledge on identifying the concentration. By 58.8% of participants identified the weight as dose calculation factor, but only 27% has knew the volume of teaspoon. The used measuring devices were varied and standard cup used by the 75%. The therapeutic syrup dose administration was seen by 58% and dosing accuracy wasn’t correlate with the dosing knowledge or with the measuring device. The most accurate measuring instrument is the syringe. The uplifting the knowledge and practice of the acetaminophen dosing for pediatrics is important for safe and effective use.
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[14]
KNOWLEDGE AND AWARENESS ON MANAGING MALIGNANT FUNGATING WOUNDS AMONG NURSES AT NATIONAL CANCER INSTITUTE, SRI LANKA
1Kumari.W.A.K., 2Bandara.K.H.N.M., 3Madushani.D.P.S.B., 4Mananadewa.M.D.N.J., 5Nisansala.M.W.N., 6Senarath N.S.A.S.N.
1,2,3 National Cancer Institute, Maharagama, Sri Lanka,
4Colombo South Teaching Hospital, Kalubowila, Sri Lanka 5,6 Faculty of Health Sciences, Department of Nursing, KIU
ABSTRACT
Tumor infiltration into the skin, and supporting tissues of deeper levels of skin leads to the formation of the malignant fungating wounds (MFW) with the characteristic features of pain, malodor, exudate and bleeding. The symptomatic treatments are more realistic rather than curative. The wound management is most challenging and nurses are playing a key role. With the aim of evaluating nurse’s knowledge and awareness of managing MFWs, a descriptive cross sectional study was conducted among nurses (n=282) at the National Cancer Institute, Sri Lanka. The overall knowledge was satisfied and 56% had obtained a lecture, 5% had trained and 66.7% had experienced on managing MFWs. While 64.5% differentiate the MFWs from others 63.5% had a knowledge to assess pain. Also, 72.7% aware on administrating parenteral morphine prior to dressing and 49.3% identified the correct dressing changing time. Also, 84.8% avoid povidone for dressing and 59.6% were aware of using crushed metronidazole to minimize the malodor. Majority nurses were aware of vaseline gauze (91%) but knowledge of advanced dressing materials was poor. The normal (88%) and hypertonic saline (81%) used for the cleansing. The negative psychological aspect of the patients was identified by the 62% and health education was given to wound management (86.9% and nutrition (94.3%) at the discharge. Uplifting the knowledge sources and arraigning training programs is needed to be encouraged to improve the knowledge on poor aspects with the purpose of improving quality of life the patient.
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[15]
COMMUNITY HEALTH NEEDS ASSESSMENT IN NORTH EAST IOWA, USA: EMPHASIS ON OBESITY AND PHYSICAL INACTIVITY
1Kavin Sundaram, MD, MSc ; 2Lisa Maher, ARNP, DNP
1University of South Florida-Blake Medical center, Bradenton, Florida, USA
1&2Cedar valley Cardiovascular Center, Waterloo, Iowa, USA.
ABSTRACT
Introduction: Understanding the community needs is important in planning population health management programs. Methods: There are 10 counties in the Cedar Valley Area of Northeast Iowa. Healthcare providers and allied service organizations came together as partners to write two online surveys to identify the community health needs of Cedar Valley residents and social service agencies. The online survey for residents was posted from March 1-May 15, 2019 and drew 1,554 unique responses. The parallel survey for social service agencies ran concurrently and drew 41 responses. The online Survey Monkey for residents was supplemented by paper surveys distributed to and collected from members of minority church congregations. Responses were tabulated by the political science department of the University of Northern Iowa using Survey Monkey analytics. Once the initial responses arrived, the partners reached out to gather additional responses from minority populations to help match the overall return to the market profile. The resident survey was extended 45 days past its original deadline to ensure additional returns. Results: For the question of the top health problems in your community, 65% of the residents and 64% of the social service agencies identified Obesity as a top problem. For the question of risky adult behavior, 45% of the residents and 58% of the social service agencies identified physical inactivity. For question of What healthy behaviors would you like to start or do more often to improve your health, 77% of the residents and 82% of the social service agencies identified more exercise. Conclusion: There is a clear awareness in the community that Obesity and Physical Inactivity are major health problems. When managing population health, its critical to address these needs.
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[16]
ELEVATED BMI DID NOT WORSEN THE OUTCOMES AT ONE YEAR IN PATIENTS PRESENTING WITH LOW RISK CHEST PAIN; SINGLE CENTER
EXPERIENCE
1Kavin Sundaram, MD, MSc; 2Lisa Maher, ARNP, DNP
1&2.Cedar valley Cardiovascular Center, Waterloo, Iowa, USA
1University of South Florida-Blake Medical center, Bradenton, Florida, USA
ABSTRACT
Background: One of the common but challenging clinical problem in Emergency Room (ER) is the patients presenting with chest pain. Majority of these patients do not have a life-threatening condition and are at very low risk for having an MI or major cardiovascular adverse effect. Obesity has also been associated with non-cardiac chest pain. The HEART score is a quick and reliable predictor of outcome in chest pain patients and can help to identify the low risk patients presenting to the ER. Age, hypercholesterolemia, hypertension, cigarette smoking, family history and obesity are some of the clinical profiles used in calculating heart score along with history, EKG changes and the troponin levels. Methods: This study is a retrospective chart review conducted on patients presented to a United States 228 bed community hospital ER with chest pain who were identified as low risk using Heart Score. Retrospective chart review looked at their 30-day incidence of Myocardial infarction and Death. Results: In a 7-week time, 40 patients were identified as appropriate to follow this protocol. 50% were male and 50% female. Median age for males was 52 years (SD16) and for females was 53 years (SD 13). Average Body Mass Index (BMI) for male was 31.7 (SD 5.1) and for female 35.4 (SD 9.1). 70% of men 65% of women had a BMI above 30. There was no difference in the 30-day incidence of myocardial infarction or death between patients with BMI above and below 30. Both groups had 0 incidence of Myocardial infarction and death. Conclusion: In our reported population, more than 65% were obese. Our study indicates that people with BMI above or below 30, had similar outcomes. Elevated BMI was not associated with higher incidence of death or Myocardial infarction.
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[17]
EMOTIONAL HEALTH RISK IN ASSOCIATION TO BACK PAIN IN UNIVERSITY STUDENTS
1Nur Azma Amin, 2Nur Hazafirah Bahaman, 3Nur Farahana Kamaruddin, 4Nur Izzati Osman, 5Nur Hanisah Mat Hussin, 6Nur Islami Fahmi Teng & 7Norsham Juliana Nordin
1,2,3,4 &5Universiti Kuala Lumpur Institute of Medical Science Technology, Malaysia
6Faculty of Health Sciences, Universiti Teknologi MARA, Malaysia 7Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia
ABSTRACT
Introduction: Back pain is common health problems among general populations including students. Students are exposed to physically and emotionally high demanding daily activities, therefore, higher the risk to develop back musculoskeletal disorders. Objective: To estimate the 12-month prevalence of self-reported musculoskeletal symptoms in the back area and the associated risk factors. Methods: A self-administered questionnaire survey was carried out on 390 students. The Standardized Nordic Musculoskeletal Questionnaire (SNMQ) was used to identify the annual prevalence of WRMSDs. Perceived emotional distress was assessed using the short version of Depression, Anxiety and Stress (DASS21). In addition, socio-demographic and educational profiles of the participants were also included. Factors associated with back MSDs were identified using chi square analyses and further by logistic regression. Results: A total of 348 students (89.23%) completing the survey. 63.79% of the students selfreported having symptoms of MSD at any part of back for the past 12 months. Of these, lower back (83.56%) were the most frequently reported as compared to the upper back (81.98%). The multivariate analyses showed anxiety or stress had significantly elevated risk of back pain among students of studied population. Conclusion: The findings indicated that back MSDs is common in students. However, students in good term of emotional health had lower risk of back MSD. Thus, it is recommended that emotional wellbeing program shall be introduced to the student in future
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[18]
A CONCEPTUAL FRAMEWORK FOR ORAL REHABILITATION - DECISION SUPPORT SYSTEM
1Rahul, S. 2Mishra, N. 3Shrivastava, R. 4Sharma, R
1Department of Paediatrics, King Edward’s Memorial Hospital Research Centre, India 2Public Health Foundation of India, India
3,4Ekdanta Dental Clinic, India
ABSTRACT
Periodontal diseases considered to be one of the global burdens of diseases. Over the past three decades in India, oral diseases/conditions reported being affecting almost 600 million people. Despite the scale of these problems, only 12.4% of adults have ever got their oral cavity examined by a dentist (draft National Oral Health Policy 2018 notes). Due to pandemic attack of COVID-19, it has been observed that patients seeking for dental treatment were not able to get the services on time by the dental practitioner, which has now caused a huge burden on the Indian health system because of unavailability of such intelligence technology in LMICs where teledentistry consultations could be possible remotely. Therefore, to leverage this gap, we designed a conceptual framework which uses an interactive two-way mobile-based personalised human-centred application for facilitating the delivery of personalized oral care for patients, providing oral rehabilitation services to reach the rural population in India at a community level. This system is implicated where it is considered to be providing a wide range of prophylactic treatment, awareness, support, health monitoring and online consultations, etc. Such a system could play a vital role in changing a person’s appearance and improving their self-esteem. However, the acceptance of this system will be evaluated using questionnaire based Likert scale assessing the System Usability Scale (SUS) testing. With the introduction to the proposed system into practice, the Personalised Human Centered Oral Rehabilitation – Decision Support System (PHCOR-DSS) can bridge the operational gaps including training of dental practitioners, dental technicians, nutritionist, patients, public frontline workers such as ASHAs and Anganwadi workers; and choosing the right technology platform to avail the dental services post-treatment as a prophylaxis
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rehabilitation tool. This can also result in improved community health with diversity in Indian settings for remote-diagnosis and early management of dental diseases/conditions through electronic communication.
Keywords: Decision support system, Oral rehabilitation, Oral cavity, Periodontitis, SUS, Teledentistry, informatics system,
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[19]
K2TALK: MEDIA-CENTERED EDUCATION FOR IMPROVING ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH KNOWLEDGE
Adreal Denver C. Monterona, MHSS, MPA (Monterona ADC)
Commission on Population and Development – Region III, Philippines
ABSTRACT
Angeles City, a highly urbanized area in the Philippines, continues to experience increasing numbers of pregnancies, sexually transmitted infections and abortions among adolescents. A Comprehensive Sexuality Education is needed to avert not only the burgeoning cases but also their adverse consequences which, on various occasions, have already foreclosed the future of many adolescents. Focus group discussions with adolescents as participants were carried out to explore how best to improve their sexual and reproductive health knowledge. Results suggest an overwhelming preference for a media- or a video-centered education and for similarly-aged adolescents to serve as education facilitators. K2Talk (“It’s Okay to Talk”), a set of video materials, was planned, implemented and evaluated by the presenter and the Commission on Population and Development as a result of the research findings. Using a community-based approach, K2Talk was introduced as an intervention to 300 in-school adolescents in Angeles City. Evaluation results revealed an improvement in the level of sexual and reproductive health knowledge among these adolescents and high levels of commitment among them to share the said knowledge with their peers as well as to delay their sexual activity. K2Talk underscores the importance of media-centered and community-based approach to improving life-changing knowledge.
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[20]
DETERMINATION OF PEROXIDE VALUE IN REPEATEDLY HEATED COOKING OIL COLLECTED FROM NIGHT MARKET FOOD SELLERS IN
MALAYSIA
Elias, S. M., Syed Mohammad Zahoor, S.L.H., Che Ismail, C.M.F., Mohd Jailani, N.N. and Sabran, M. R
Universiti Putra Malaysia
ABSTRACT
Deep frying using repeatedly heated cooking oil is a well-known practice among local night marketers. After several cycles of deep frying process, peroxide can be found in the cooking oil and the amount will increase with the increase of repetition. Food which deep-fried in repeatedly heated cooking oil can absorbed up to 14-22% of the oil in the food batter. Peroxide is a major concern in deep frying process due to its bad effects to the health such as hypertension and cancer. This study aimed to determine the peroxide value in repeatedly heated cooking oil collected from deep-fries food sellers in night markets. There were 376 oil samples collected from the food sellers. A total of 100ml of used oil were collected from each food sellers and analysed for peroxide value using iodiometric titration technique from the American Oil Chemist Society (AOCS) Cd 8b-90 Method. In total, 51% of the oil samples contained peroxide value which exceeded the AOCS standard of 10 mEqO2/kg. A proper and well plan program is needed to educate and improve the food preparation practice of the food sellers in order to assure the high quality and safe food for consumption.
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[21]
FACTORS ASSOCIATED WITH HIGHER REPORTED PAIN LEVELS AMONG FEMALE PATIENTS WITH TRAUMATIC INJURIES WHO ADMITTED TO
ACCIDENT SERVICE IN NATIONAL HOSPITAL OF SRI LANKA
Gayanthika B.G.D., Bandara N.A.H.U., Chathurani A.R., Ariyarathna D.E.A., Lakmali T.H.S.R., Jayamaha A.R., Priyadarshani U.G.N
Department of Nursing, KIU, Sri Lanka
ABSTRACT
Traumatic injuries remain one of the leading causes of morbidity and mortality worldwide. Although trauma in females is always underreported, any injury or trauma causing them to suffer with pain and other complications, affects their major roles which is a significant health burden. A descriptive cross-sectional study was conducted among 120 randomly selected female patients with traumatic injuries who admitted to the accident service, National Hospital of Sri Lanka to assess the level of pain and factors associated with higher reported pain levels. A pre-tested interviewer administered questionnaire and Wong Barker’s pain scale were used as the study instruments. Data was analyzed using descriptive statistics and chi square test. Of the participants, 74% were Sinhalese and 44% were belonged to age group of 20-40 years. Only 11% having tertiary educational qualifications, while 59% were employed. Most frequent injury site was lower extremities (36.7%) and 41% of the individuals reported fractures as a result of the injurious event. Among the participants, 60.8% reported moderate level of pain while 12.5% and 25.8% reported mild and severe pain respectively. As per pharmacological pain management, 61.7% were treated with NSAIDs, while 23.3% and 15% were treated with over the counter analgesics and opioid analgesics respectively. There were statistically significant associations between the reported level of pain with marital status (p=0.04) and ethnicity (p=0.03), but age, educational level, type of wound, and type of analgesic were not associated with the level of pain. This study emphasizes the unmet need of proper pain management strategies for the female individuals experienced traumatic injuries.
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[22]
EFFECTIVENESS OF THE PHARMACOLOGICAL INTERVENTIONS ON ABSTINENCE OF SUBSTANCE ABUSE DISORDER; SYSTEMATIC REVIEW
1Jayamaha A. R, 2Herath H. M. N. D. M., 3Ranadeva N. D. K., 4Dharmarathna H. N. N. D., 5Buddhini D. G. H., 6Priyadarshani U. G. N., 7Samarakoon D. N. A. W., 8Arachchi A. M. P.
S., 9Senerath S. N., 10Samarasinghe K. L., 11Fernando S. S. N.
1,2,3,4,5,6,7,8,9 & 10KIU, Sri Lanka.
11Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka
ABSTRACT
The abundance of pharmacological interventions to treat substance abuse disorder has solidified globally. Despite promising effects, use of pharmacological interventions in substance abuse disorder are limited in Sri Lanka. The aim of this study was to identify and explore existing effective pharmacological interventions on abstinence of substance abuse disorder. Systematic review was conducted adhering to PRISMA guidelines. Google scholar, Pubmed, HINARI, and the Cochrane databases were systematically searched and topic and abstract of the articles were screened for eligibility. Articles of empirical studies on pharmacological interventions which were published in peer-reviewed journals during 2015 to 2020, written in English, were included and articles on alcohol and smoking cessation were excluded from the review. Full papers were then assessed against eligibility criteria. Quality appraisal and data extraction of the selected articles were performed by two independent reviewers and discrepancies were discussed with another independent reviewer to reach consensus. Three hundred and seven research articles were identified through a comprehensive database search. After screening the topics and abstracts of the articles and assessing the relevant full texts for eligibility, 26 articles of the empirical studies were included in the systematic review. High dose of Buprenorphine, Antalarmin, SB-334867 (Orexin-1 receptor antagonist), Prazosin, Baclofen, LY379268 (Group II metabotropic glutamate receptor agonist), Lofexidine were found to be significantly effective in abstinence of substance abuse. Empirical enidence of effective pharmacological interventions exist and
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the combination of treatment with existing non- pharmacological rehabilitation interventions are thought to be more effective against substance abuse in Sri Lanaka.
Keywords: Pharmacological Interventions, Substance Abuse Disorder, Treatments, Drug abuse
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[23]
FACTORS ASSOCIATED WITH DELAYED INITIATION OF BREASTFEEDING AMONG MOTHERS WHO DELIVERED THEIR BABIES AT DE SOYSA
HOSPITAL FOR WOMEN
Thennakoon T.M.I., Somawardhana G.R.N.S., Sharmila M.A.H.A., De Silva W.M.H., Samarakoon S.M.J.H.M., Buddhini D.G.H., Jayamaha A.R.
KIU, Sri Lanka.
ABSTRACT
One of the leading causes of malnourishment and deaths of infants is caused by not being breastfed and the same causes breast cancers in women. Early initiation of breast feeding is not practiced due to a variety of reasons across the globe and mainly are three fold: neonatal factors, maternal factors, and cultural factors. The study aimed at identifying the maternal factors associated with delayed initiation of breastfeeding among mothers who delivered their babies at De Soyza Hospital for Women. A descriptive cross sectional study was conducted among 155 randomly selected mothers. Data was collected using an interviewer administered questionnaire which consisted of three sections: section one on the demographic factors, section two on the maternal factors, and section three on neonatal factors. Both descriptive statics and inferential statistics were carried out using IBM SPSS 23 version. Majority of the participants were married (96%), belonged in the age category of 22-28 (45.9%) and were unemployed (65.8%). Further, majority of the participants were primiparous (51%) and opted for vaginal delivery (61.3%) as opposed to assistance delivery (1.3%) and cesarean delivery (36.1%). Out of the maternal factors, the type of delivery opted by the mothers was significantly associated with the delayed initiation of breast feeding (p=0.006) whereas age, religion, marital status, ethnicity, educational levels of both partners, frequency of visiting antenatal clinic, attitudes possessed about breast feeding, family size were not significantly associated with delayed initiation of breastfeeding. The findings revealed that the delivery type of mothers was a maternal factor associated with delayed initiation of breastfeeding.
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[24]
THE PREVALENCE OF NON-COMMUNICABLE DISEASES AND SELECTED RISK FACTORS AMONG POLICE OFFICERS IN SELECTED MEDICAL OFFICE
OF HEALTH AREA, SRI LANKA.
1Hettiarachchi H.A.W.L 2Lokubalasooriya L.B.G, 3Lakmali M.D.C.E., 4Gunerathne H.T.S, 5Wickramasinghe Y.P.I.R, 6Senerath N.S.A.S.N, 7Warnakulassoriya S.S.P
1Medical Office of Health, Kaduwela, Sri Lanka, suralisurani@gmail.com 2,3 National Eye Hospital, Sri Lanka
4District Hospital Rathnapura, Sri Lanka 5Army Hospital,, Colombo, Sri Lanka
6 Department of Nursing, Faculty of Health Sciences, KIU 7 Faculty of Nursing, University of Colombo, Sri Lanka
ABSTRACT
Non -communicable diseases (NCDs) are chronic diseases, frequently associated genetic, physiological, environmental and behavioral factors. Cardiovascular diseases, cancers, chronic respiratory diseases and Diabetes Mellitus (DM) are most common NCDs and most of the professional groups are also affected. Police profession is specialized for the maintenance of public peace and enforcement of laws in country and police officers are at high risk of developing NCD according to the nature of their job. A descriptive cross sectional study was conducted among the 94 of police officers in Kaduwela, Sri Lanka using self-administered questionnaire and observational check list to measure blood pressure, anthropometric measures (height, weight, abdominal girth and mid upper arm circumference) and, blood investigations (Fasting Blood Sugar (FBS) and total cholesterol with the aim of assessing prevalence and risk factors for NCDs. Although previously diagnosed NCDs and risk factors are reported in low prevalence (Diabetes - 14.9%, hypertension - 6.4%, cardiovascular disease – 1.1%, Dyslipidemia – 13.8), high values are investigated for Body Mass Index (62.8%) FBS (31.9%) total cholesterol level (17%) and BP (48%). Medical
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checkup was not done for pre-diagnosed DM (68.1%), total cholesterol (79.8%) and blood pressure (77.7%). Smoking (39.4%) alcohol usage (68.1%) poor physical activities (80.9%), not engaging with sports (86.2%) and hobbies (40.4%) are identified risk factors and association were seen between DM, hypertension and dyslipidemia with the increased blood pressure BMI and total cholesterol level. Prevalence and risk factors for NCDs is high and health seeking behavior for NCDs is poor among police officers.
Keywords: Non Communicable Disease (NCD), risk factors, Police Officers, MOH, prevalence.
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[25]
AWARENESS, ATTITUDE AND PERCEIVED BARRIERS REGARDING PAIN MANAGEMENT METHODS USED DURING NORMAL AND ASSISTED DELIVERIES AMONG MOTHERS ADMITTED TO LABOUR ROOMS IN CASTLE
STREET HOSPITAL FOR WOMEN IN SRI LANKA
1Hansika, M.K.M., 2Lakmali, M.B., 3Wickramasingha, N.M.C., 4Sewwandi, K.P.A., 5Perera, A.C.H.
1,2,3,4,&5Department of Nursing, Faculty of Health Sciences, KIU, Sri Lanka
ABSTRACT
Pain is an unbearable unpleasant experience and also an unspoken problem in society which is affected by multiple physiological and psychosocial factors with a varying intensity. Most women in labour require pain relief and the Castle Street Hospital, which is a well-equipped tertiary care hospital in Sri Lanka is playing a major role in implementing pain management strategies among mothers. Labour pain management is significant in maintaining physiological and psychological well-being of postpartum mothers. This descriptive cross-sectional study was conducted using a pretested interviewer administered questionnaire to assess awareness and attitudes regarding pain management methods used during normal and assisted deliveries among mothers in labour rooms of castle-street hospital of women, Sri Lanka. Study sample consisted of 214 mothers who were admitted to ante-natal wards for delivery. Majority of the participants were between 25 to 29 years of age, Sinhalese in race, Buddhist by religion, and unemployed. Most of the participants were aware of labour pain but 75% of the population had poor knowledge level and parity (p=0.036) and educational Level (p=0.046) were found to have a significant positive correlation with the knowledge level. Major sources of getting knowledge about pain reliving methods were medical staff like nurses, doctors and midwives via awareness programs in the Anti natal clinics and MOH clinics. Among the population, 94.8% had a positive attitude towards pain management. Based on the findings it is recommended to include labour pain management in the ante-natal health education sessions.
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[26]
FILIPINO ADOLESCENT MOTHERS’ REPEATED PREGNANCY RESPONSES: IMPLICATIONS FOR PUBLIC PROGRAMS AND POLICIES
Adreal Denver C. Monterona, MHSS, MPA (Monterona ADC)
Commission on Population and Development – Region III, Philippines
ABSTRACT
Early pregnancy in the Philippines is further propelled to increasing trends with the occurrence of repeated adolescent pregnancy. Available local studies on the said phenomenon are quantitative, stressing the importance of qualitative contexts for program and policy development. This paper presents qualitative data from responses of young mothers who have had repeated adolescent pregnancies as a result of a study that employed the phenomenological research design and the narrative methodological approach. The study made use of data collected through individual interviews with young mothers from the province of Pampanga, Philippines who have experienced more than one pregnancy from ages 15 to 19. Emerging themes on the responses of young mothers include “helping keep both mommy and baby healthy”, “moving on towards motherhood”, and “needing a village to raise a child (or two)”. The young mothers’ responses on repeated adolescent pregnancy present challenges not only on existing public health interventions but also on services on socio-economic development, stressing the need for further research.
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[27]
PREVALENCE OF HYPERTENSION AND ITS DETERMINANT FACTORS AMONG WORKERS AT PORT CONTAINER TERMINAL
Daud, N. I. M & Elias, S.M
Universiti Putra Malaysia, Malaysia.
ABSTRACT
Port workers have high potential to develop hypertension due to their work nature that exposed to high altitude working area, long working hours and other risk factors. However, limited studies were done regarding this issue. Most workers at port container terminals were male who are at higher risk to get hypertension according to National Health and Morbidity Survey 2019. It is important for the port workers to maintain a healthy lifestyle for them to improve their quality of work as well as to avoid from getting chronic diseases like hypertension. This cross-sectional study was aimed to determine the prevalence of hypertension as well as to associate the factors with hypertension among the workers at port container terminal. The factors that had been studied were socio demographic background (age, sex, race, marital status, family history, income, education level), lifestyle (BMI, smoking, physical activities, consumption of sodium in daily dietary intake) and work- related factors (work shift and working hour). A total of 200 male port terminal container workers participated in this study. Sociodemographic background, lifestyle, and work-related factors were obtained by using questionnaire which consists of 5 sections; A: Socio Demographic Information; B: Working Characteristics; C: Disease History; D; Sample Measurement; and E: Daily Dietary Intake. The blood pressure of the workers was obtained by using Omron HEM-7221-Z Automatic Blood Pressure Monitor. The result found the prevalence of hypertension among the workers was 50.5%. The most significant factors associated with hypertension were education level (OR=2.4, 95% CI: 1.14, 4.88) and BMI (OR=2.7, 95% CI: 1.09, 6.67). This study concluded that the high prevalence of hypertension among the workers were contributed by low level of education and unhealthy BMI. Workers who had low level of education had 2.4 times risk of getting hypertension than those who had high level of education. Workers with non-healthy BMI had 2.7 times risk of getting hypertension than those with healthy BMI. Thus, intervention programs are needed to be
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initiated by the company to educate the workers along with regular health monitoring to counter this problem from getting more serious.
