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Patient Satisfaction: Bangladesh Perspective

Research Article of International Research Journal of Public Health Patient Satisfaction: Bangladesh Perspective Abdul Kader Mohiuddin Dr. M. Nasirullah Memorial Trust, Tejgaon, Dhaka 1215, Bangladesh Patient’s satisfaction is a useful measure to provide an indicator of quality in healthcare services. Concern over the quality of healthcare services in Bangladesh has led to loss of faith in healthcare providers, low utilization of public health facilities, and increasing outflow of Bangladeshi patients to hospitals in abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and, occasionally, disregard for the suffering that patients endure without being able to voice their concerns—all of these service failures are reported frequently in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with healthcare service providers and healthcare itself. Keywords: consultation length; patient waiting time; rural health facilities; unethical drug promotion; quality of future doctors ...

Impact of a school-based intervention to address iodine deficiency disorder in adolescent girls in Gilgit, Pakistan

Research Article of International Research Journal of Public Health Impact of a school-based intervention to address iodine deficiency disorder in adolescent girls in Gilgit, Pakistan 1Nadir Shah,2Dr Mohammad Shahnawaz 2Ms Khoula Begum, 3Dr A.Uppal,3H. Ahmed 1Aga Khan Medical Center, Gilgit, Pakistan 2 Karakorum International University, Gilgit Pakistan 3Allama Iqbal Open University Islamabad, Pakistan Iodine deficiency disorder (IDD) is a major public health problem in the high mountain population of Gilgit Baltistan province of Pakistan. In this study we evaluated the impact of iodine supplementation coupled with iodine nutrition education on IDD in adolescent girls. We conducted a pre- and post intervention study in a stratified random sample of 152 girls aged 10 to 19 years from four schools of Gilgit town in 2011. IDD was defined as having a goiter, and urinary iodine deficiency (<100 mcg/l). Five trained female research assistants conducted iodine nutrition education for 6 months. Out of 152 participants, 125 (83%) completed the study. The optimum salt iodine concentration (50 ppm) increased from 10.5% to 21.5% at the household level of the study participants. Consumption of iodine poor food decreased from 74.7% to 59.6% after the intervention. The mean urinary iodine concentration increased from 33.2mcg/L (SD±14.9) to 119.1 mcg/L (SD±65.8) over the study period and the change was statistically significant (p<0.05). At the end of the study 82.8% of the adolescent had no goiter compared to 72.4% at the baseline. This study showed improvement in iodized salt consumption and decreased IDD among the study adolescents. Keywords: IDD, Adolescent girls, Impact Indicators ...

Validation of Ewé’fá as Herbal Recipes for Reproductive Health Problems (RHPs) among the Yorùbá of South-western Nigeria

Research Article of Journal of Herbal Medicine Research Validation of Ewé’fá as Herbal Recipes for Reproductive Health Problems (RHPs) among the Yorùbá of South-western Nigeria Aderemi S. Ajala1*, Mubo A. Sonibare2, Idayat T. Gbadamosi3, S. K. Olaleye4, Oluwatoyin Odeku5, Aremu O. Adegoke6, A. G. Adejumo7, 1Department of Archaeology and Anthropology, University of Ibadan, Ibadan, Nigeria; 2Department of Pharmacognosy, University of Ibadan, Ibadan, Nigeria; 3Department of Botany, University of Ibadan, Ibadan, Nigeria; 4Department of Religious Studies, University of Ibadan, Ibadan, Nigeria; 5Department of Pharmaceutics and Industrial Pharmacy, University of Ibadan, Ibadan, Nigeria; 6Department of Pharmaceutical Chemistry, University of Ibadan, Ibadan, Nigeria; 7Department of African Languages and Linguistics, University of Ibadan, Ibadan, Nigeria Ifá scriptural verses contain a number of herbs for healing different ailments among the Yorùbá of Nigeria. Thus, Ifá is one of the epistemologies of Yorùbá herbal healing system. Considering religious sentiments and secrecy arising from patenting, hermeneutic analysis and validation of Ifá-based herbs (Ewé’fá) is yet to be scientifically engaged. This paper analyses some Ifá verses and identifies Ewe’ fa mentioned in them for validation, focussing reproductive health problems (RHPs). Thirty medicinal plants mentioned in six selected Ifá verses (Èjìogbè, Ògúndábède, Òyèkú-Méjì, Ogbè- Túrúpòn, Ìwòrì- Òfún, and Òtúrá-Méjì) for the treatment and management of RHPs were identified. Ethnographic and ethno-botanical surveys of those herbs were conducted in Bode herbs market in Ibadan, Nigeria. Key informants’ interviews, observation, and semi-structured ethno-botanical questionnaire were used. Interviews focused on sources of Ewé’fá and mode of treatment in RHPs, botanical information on Ewé’fá, knowledge value of identified Ewé’fá, and uses and validation of Ewé’fá in the treatment of RHPs. Nineteen respondents, mainly herb sellers (78.9%) and some traditional medical practitioners (21.1%) were involved in the survey. All the respondents were females, aged 41-60 years (52.6%) and 78.9% of them were Muslims. Herbal ...

Medicinal Plants Used for the Management of Asthma in Ethiopia – A Review

Review Article of Journal of Herbal Medicine Research Medicinal Plants Used for the Management of Asthma in Ethiopia – A Review Bihonegn Sisay1*, Asfaw Meresa1, Eyob Debebe1, Worku Gemechu1, Tsion kasahun1, Frehiwet Teka1 , Tigist Abera1, Sameson Taye1 Traditional and Modern Medicine Research Directorate, Ethiopian Public Health Institute, Addis Ababa Ethiopia INTRODUCTION: Asthma is one of the most common chronic diseases in contemporary society and there is increasing evidence to suggest that its incidence and severity are increasing. Medicinal plants, also called medicinal herbs, have been discovered and used in Traditional medicine practices since prehistoric times. Plants synthesize hundreds of chemical compounds for functions including protection against insects, fungi, diseases, and herbivorous mammals etc. Further, the phytochemical content and pharmacological actions, if any, of many plants having medicinal potential remain unassisted by exact scientific research to define efficacy and safety. OBJECTIVE: The aim of this review is to give an on the way into some of the most commonly used medicinal plants, phytochemical information of plants and their method of preparation for the management of asthma. METHOD: In these review assembly information of the medicinal plants used to management of asthma from publication journals, thesis, literature searching. In addition to these some of literature qualitative and quantities determination of the phytochemical screen and bioactivity. RESULT: In the review a total of 23 medicinal plants collect from different literature. This finding is a good indicator for the presence of considerable diversity of plant species for the management of Asthma. The most common medicinal plants that used in the society are Papilionaceae, Caricaceae, Moringaceae, Liliaceae, Asteraceae etc. The society used all parts of medicinal plants like stem, root, bark, leafs, fruit, flowers, seed etc. CONCLUSION: In these review a good number of contemporary medicines have evolved from traditional medicines thus in the ...

Clean Water Standards, Environmental Hygiene Sanitation, and Vector Control in Prevention of Disease Transmission in Disaster in Lombok, Indonesia: A Systematic Review of Literature

Research Article of International Research Journal of Public Health Clean Water Standards, Environmental Hygiene Sanitation, and Vector Control in Prevention of Disease Transmission in Disaster in Lombok, Indonesia: A Systematic Review of Literature Ahmadi, Roro Azizah Fakultas Kesehatan Masyarakat, Universitas Airlangga Natural disasters are events that cannot be avoided and desired by everyone. Water and hygiene are important determinants of survival at the beginning of post-disaster. An adequate amount of safe water is needed to prevent deaths from dehydration, therefore in the event of a disaster there is a need for standards to reduce the risk of water-related diseases, sanitation hygiene and vector control. This study aims to explain the concept of water standards, sanitation cleanliness and vector control as humanitarian steps in the event of a disaster. This study shows that the application of these concepts is useful for reducing disease transmission from environmental factors and disease vector exposure. The method in this study uses the epidemiological triangle model approach. Using this method, we set basic standards in humanitarian action at the disaster in Lombok to control the risk of environmental-based diseases. Details of this method are shown in the following which includes the Environment, Agent, and Host. Adjudication is mainly achieved through promoting good hygiene practices, providing safe water, reducing environmental health risks, and controlling infectious disease vectors. This condition will allow people to live healthy with dignity, comfort, and security. Keywords: clean water standards, disasters, environmental hygiene, sanitation, vector control ...

Chronic disease profile, health utilization and self-reported financial situation of older people in rural South Africa

Research Article of International Journal of Aging Research Chronic disease profile, health utilization and self-reported financial situation of older people in rural South Africa Folashayo Adeniji Department of Health Policy & Management, Faculty of Public Health, College of Medicine, University of Ibadan Background: Chronic diseases are more prevalent among older people. These illnesses require seeking continuous medical services which oftentimes have spill-over effects on the financial situation of individuals and households. Objective: To describe the chronic disease profile, health utilization and self-reported financial situation of older people in a rural population. Methods: Cross-sectional data from South Africa Wellbeing and Older People Study (WOPS)-wave 2 was utilized for this study. The survey included 519 respondents and was carried out between April 2013 and August 2013. Descriptive statistics was used to report respondents’ socio-economic characteristics, chronic disease profile, health utilization patterns, hospitalizations and access to medical and non-medical financial aid. Chi square test was conducted to examine the factors associated with chronic diseases and self-reported financial situation at 5% level of confidence. Results: The mean age of respondents was 62 years. Of the respondents, 259 (50%) had hypertension and 122 (24%) had arthritis, twenty-two (4%) had stroke, 43 (8%) had diabetes, 25 (5%) hade asthma, 10 (2%) had heart disease and 6 (1%) had cancer. Following the experience of a health problem, 119 (46.67%) adopted self-medication and 36 (14.12%) consulted traditional healer. Four hundred and fifty-four (97.63%) respondents received no financial aid for buying drugs and paid out-of-pocket. Also, 452 (97.41%) had no access to financial aid to pay for hospital bills. Risk factors like tobacco use (χ2 =6.77, p=0.009) and alcohol consumption (χ2 = 8.90, p= 0.003) were also associated with hypertension. Also, being hospitalized in the last 1 year (χ2 = 8.15, p=0.017) was associated with whether households’ financial condition ...