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The Journal of Community Health Management

Journal Papers (11) Details Call for Paper Manuscript submission Publication Ethics Contact Authors' Guide Line
1 Disease Ontology, SC Mohapatra and Meghkanta Mohapatra
The Journal of Community Health Management is a peer reviewed journal and an official publication of Innovative Publications. The journal publishes papers, original research articles, editorials on Preventive Medicine, Community Health, Health Management, Health Statistics, Biostatics, Nutrition, Epidemiology and Health Services Research. All correspondence to the Journal be made to the Chief Editor, The Journal of Community Health Management (JCHM).
2 The influence of co-morbidities and gender differences in causation of physical disability among elderly individuals of north-west Rajasthan, Sitaram Gupta, Pankaj Kumar Gupta, Surendra Singh Sekhawat
Background: India along with other developing countries experienced a significant rise in the population of elderly owe to better health care services and improved living conditions. This is been accompanied with several socioeconomic and health related problems including physical disabilities. This study was aimed - To know the relationship of physical disability with gender and morbidity status of elderly individuals. Methodology: This was community based cross sectional study done at Udairamsar (Rural health training center under department of community medicine). Study was conducted with 382 elderly. Current morbidities of these were assessed by asking for prescription and investigations done at site. Physical disability was assessed using Rapid disability rating scale-2 Results: Out of 382 elderly 46.85% were males, rest were female. 230 elderly belongs to 60-69yrs age group, 121 from 70-79yrs and 31 from 80 years and above age group. Nearly 75% elderly were having one or more morbidities (77.33% among women and 71.515 among men). Average number of morbidities per elderly was 2.25. The mean disability score of study population was found to be (31.48 + 3.7), females were having higher MDS (28.6 + 3.5) than males (34.01 + 4.1) which was found statistically significant. MDS among elderly having none, 1-2, 3-4 and >4 morbidities was 24.76 + 3.5, 29.15 + 4.2, 33.41 + 4.3 and 42.05 + 5.8 respectively. This difference was found to statistically significant (P
3 Item analysis and validation of MCQs in Paediatrics for final MBBS examinations, Nimain C. Mohanty, Nitin N. Kadam, Vijay Kamale, Ipseeta Ray Mohanty
Objectives: The study was designed to validate the MCQs used in Graduate examinations in Paediatrics using item analysis. Material and Methods: MCQs and their answers responded by 100 students in each batch appearing for their final MBBS examinations in paediatrics were analysed for 3 consecutive years from 2012 to 2014. Item analysis of each question were undertaken for difficulty index, discriminative index and discrimination effectiveness. Result: Wide variation in difficulty and discriminative indices were noted, often outside prescribed range, making many of these unsuitable for inclusion in the question bank. Conclusion: The teaching faculty, question setters and moderators need to be sensitized about its implication
4 Geriatric nutritional status in rural areas of Varanasi, Ravi Shankar, A. Mohapatra and SC Mohapatra
Background: Old age is a significant phase in person's life. Good health in this phase of life is the pre- requisite to good "Quality of life" and adequate nutrition is key to good health. The prevalence of chronic disease and functional disabilities including nutrition related problems increase steadily with the ageing. Ageing is associated with predictable changes in physiology and function, income, health and psychological well being with the potential impact on diet and nutrition status of the elderly. Objective: The specific objective of this study was to carry out dietary and an anthropometric assessment of the respondents for their nutritional profile. Methods- In order to assess the nutritional status of the elderly people, a field based cross sectional study was carried out in two selected villages in Rural Field Practice Area in Varanasi district of Uttar Pradesh. Two hundred forty individuals were included in the study. Anthropometric used and indices computed were as per standard technique. Results: The majority of study subjects {71.24%) had energy intake below the recommended dietary allowance (RDA) by ICMR. Almost all elderly individuals (98.75%) consumed iron in amount less than recommended dietary allowance (RDA). In all, 50% of the elderly people had BMI < 18.5 and these subjects were suffering from chronic energy deficiency (CED). Significantly higher percentage of individuals' ?70 years of age. (59.21%) had chronic energy deficiency than those between 60-69 years (45.12%) [c2=4.17,df=1 p25. Chronic energy deficiency increases significantly with lowering of socio economic status [c2=32.82,df=2 p
5 Comparative assessment of self-medication practices among under-graduate Medical and Engineering students, Sai Divya, Savitri Katlam, Ipseeta Ray Mohanty, JD Jindal, YA Deshmukh
Background: The present study was designed to assess the reasons, indications and drug usage pattern for self-medication among medical students and their age matched non-medical (engineering) peer groups. Methods: The cross sectional study was conducted at MGM Medical and Engineering Colleges, Kamothe, Navi Mumbai. The participants were medical and engineering students from first to final year with in the age group of 18- 25 years. The data was collected using a pre-tested semi structured questionnaire. The data was analyzed and results were expressed as percentages. Results: Out of the total 226 medical and engineering students surveyed, 142 (62%) were females and 84 (37.16%) were males. Self-medication was reported among medical students (68%) as compared to engineering students (27%). The common ailments for which self-medication was used among medical students were fever (89%), common cold (84%), headache (83%) and among engineering students were common cold (73%), headache (71%), cough (65%). Medical students consulted their family (73%), medical books (49%), and old prescriptions (30%); while engineering students consulted the family (56%), pharmacists (33%) and friends (25%) for self-medication. The most common self medicated drugs were antipyretics (70%), analgesics (65%), antibiotics (57%) among medical students; and antibiotics (34%), cough suppressants (34%) and analgesics (20%) among engineering students. The reasons cited for self-medication among medical students were: mild illness (76%), know which drug to take (56%), urgency (43%); and mild illness (48%), time saving (29%), general well-being (25%), among engineering students. Conclusions: This descriptive study found that the prevalence of self-medication among medical students was higher as compared to engineering students, facilitated by the easy availability of drugs and information from textbooks/family
6 Nutritional Status of School Children in Urban Area of Varanasi, UP, India, Pragya Singh, SC Mohapatra, Hari Shankar
The school age population forms one fifth of the India population, the future segment of the country. Malnutrition is still highly prevalent in developing countries. School children may also be at high nutritional risk, not only under-five children. However, their nutritional status is poorly documented, particularly in urban areas. The paucity of information hinders the development of relevant nutrition programs for schoolchildren. Therefore it is important to monitor and assess the nutritional and health status of this group and fortunately this group is easily accessible for nutrition monitoring and evaluation. Research Question: - What is the mean nutritional status of school going children Objective: 1.To assesses the magnitude of malnutrition in primary school children using anthropometry 2.To determine adequacy of dietary intake of school children Study design: Cross-sectional survey. Setting: Government primary schools in urban area of Varanasi Participants: Primary school children. Statistical Analysis: Percentage and proportion. Results: Out of 100 surveyed children, more than half were girls and 46% were male. The study shows that 72 % children belonged to nuclear family and rest was joint family. Majority of the children mothers were educated up to 5th class level (36%).Study revealed that 13% children ate only one meal per day, while more than two third children ate more than one time,17% children did not take milk at all. In our study more than 2/3 rd children were found to be malnourished. Increasing trend of Mild and moderate malnutrition with increasing age was observed in both age groups, 6-7 year and7-8 year respectively. While decreasing trend of severe grade malnutrition was found in my study. Over all severe malnutrition was found to be(19%). Severe stunting did not find in age group 6-7 year children. Protein consumption in all age group was less than RDA, although it was not remarkable increase with the increasing age from 6 years to 12 years. In the age group of 8-9 years it was just 50% of the RDA and after that comparatively decreases with age in relation to RDA. The trend shows slightly higher consumption of protein in female 20.36gm./d (mean) than male 18.87gm/d (mean). .Fat intake was almost equal in all age groups Carbohydrates content in the diet of the school going children was less than the requirement in all age groups
7 Morbidities and its relationship with disability and psychological wellbeing among elderly in Varanasi District, Mohan Gupta, Kshitij Raj, SC Mohapatra
Objective: To assess the pattern of morbidity, co-morbidity, and treatment-seeking behaviour among the elderly. To determine the relationship of specific medical and co-morbid conditions with disability and psychological well-being, and also morbidity with socio-demographic variables. Methods: This is across-sectional study, using a cluster sampling technique, with a sample of 200 subjects (elderly people over 60 years old) from the urban population of Varanasi City and the rural area of Harahua Block, Varanasi District. Analysis of variance (ANOVA) was used to determine relationship between various socio-demographic variables and morbidity. Variables that were independently associated with morbidity and perceived health were analyzed. Results: Females and the rural elderly were found to have higher mean morbidity. Asthma, COAD, hypertension, osteoarthritis, gastro-intestinal tract disorders, anemia, eye, psychological and neurological problems were significantly associated with both disability and distress. Conclusion: More geriatric facilities need to be provided in hospitals and dispensaries. The oldest of the old should be provided free treatment and medicines. Family members need to be educated about the harms of the elder abuse.
8 Knowledge, attitude, and practice as regard sex determination & gender preference among Pregnant women attending ANC clinic in District Hospital Ujjain, MP, Deepak Pippal,Y Sabde, Manjusha Pippal
Knowledge, attitude and practice studies have lost their academic importance, since inspite of millions of KAP studies nothing is being contributed to the science (Mohapatra, 1992). However, it is expected that most Indian women, during their pregnancy, want a male child and therefore go for sex determination. The present study was therefore, undertaken to find out as to what the women know and what they do in order to justify their desire of offspring. A total of 350 female were enrolled in study over a period of month. The mean age of women was 29.04 6.26 yrs (minimum age-20 yrs, maximum age 50 yrs). It was observed that about 21% women desire more male children than girls, while 4% women need only male children. Thus the male child preference of women amounts to 25% of women under observation. Study reveals that women who was in antenatal state showed significantly higher interest in fetal sex determination ( c2 = 27.008, df = 2, p
9 Gender wise differences in health complications among elderly of rural Varanasi, Uttar Pradesh, Bhanu Priya Singh, T.B. Singh
Aging is an evitable biological phenomenon. The proportion of elderly person is increasing world wise. In developing countries including India the aged population ration is growing up due to increase in economic status, new inventions in medical sciences, availability of affordable health services etc. The longevity in life is also increasing the health complications. Objective: The Objective of this study was to assess the burden of various health problems among study subjects and (ii) to find out the gender wise differences in various problems. Material and Materials: The findings of this study were based on 290 rural elderly subjects residing in Varanasi district of eastern Uttar Pradesh. Multi stage cluster sampling was used with cross sectional study design. Data were collected through schedule method regarding their socio demographic and health problems. The findings were presented in number, percent and z test was applied to find out gender wise differences in these complications. Result: Age related health problems were observed in both the genders. One third elderly suffered with cough and cold, 66.20 % elderly had the problem of vision and 63.10% had joint pain. More than half (54.10%) had the problems of forgetting/ dementia. Maximum study subjects had the problems of co-morbidities. Conclusion and recommendation: From this study it is concluded that social, economic and mental and health care provider supports are required to uplift the life of the elderly either through Government/ non-Government or family/ relatives/ societies/ communities.
10 Policies and priorities for healthier sustainable water management in river basin cities of developing countries, Naveen Kumar Mishra, Meghkanta Mohapatra
The Journal of Community Health Management is a peer reviewed journal and an official publication of Innovative Publications. The journal publishes papers, original research articles, editorials on Preventive Medicine, Community Health, Health Management, Health Statistics, Biostatics, Nutrition, Epidemiology and Health Services Research. All correspondence to the Journal be made to the Chief Editor, The Journal of Community Health Management (JCHM).
11 Poor oral dental hygiene and aspiration Pneumonia, M Jaiswal, TP Chaturvedi, GN Srivastava, AV Parihar, CB Pratap
The Journal of Community Health Management is a peer reviewed journal and an official publication of Innovative Publications. The journal publishes papers, original research articles, editorials on Preventive Medicine, Community Health, Health Management, Health Statistics, Biostatics, Nutrition, Epidemiology and Health Services Research. All correspondence to the Journal be made to the Chief Editor, The Journal of Community Health Management (JCHM).