Indian Journal of Health and Wellbeing

Mukesh Nagar ¹, M. S. Punia ², Anita Punia ³, Shweta Goswami ³, Amandeep Kaur ³, H. Raghvendra ³, Anuradha ³, Kiran Nagar ⁴

Affiliations
1 Medical Officer, VMMC & Safdarjung Hospital, New Delhi, IN
2 Community Medicine Pt BD Sharma PGIMS, Rohtak, Haryana, IN
3 Pt BD Sharma PGIMS, Rohtak, Haryana, IN
4 National Institute of Ayurveda, Jaipur, IN

Abstract

An estimated 2.39 million Indians are currently living with HIV. In 2004, the Indian government began providing free antiretroviral therapy (ART), through ART centers. Adherence to ART is the most essential component of treatment success in HIV care. ART demands a minimum of 95 percentage adherence to avoid viral resistance and treatment failure. There is limited information available from Haryana on adherence to ART and its predictors. So this study was planned to determine patient adherence to ART and associated factors. A cross-sectional study was conducted at the ART Centre at Pt. B.D. Sharma PGIMS, Rohtak, Haryana from December 2010 to May 2011. A total of 400 patients aged 18 years and above were selected randomly and interviewed using a pretested semi-structured schedule, after taking their written informed consent. The data collected were compiled in MS Excel and analysed using appropriate statistical tests. The mean age of patients was 35.33 years. The median time on ART was 20 months. Average 7-day adherence was 94.34 per cent. 23.5% reported missed doses over the past 7 days; 65.5 per cent of them reported missing a full day's medications. Common reasons for missing doses were “traveling / away from home” (27.6 %), “simply forgot” (21.6%), “ran out of pills” (17.2%) and “busy with other things” (13.8 %). There is a need to create an understanding among patients, their families and health care providers regarding importance of adherence to ART; and develop validated low-cost interventions that optimize adherence.

Keywords

Adherence, Antiretroviral Therapy (ART), HIV.

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Anuradha ¹, Amandeep Kaur ¹, Mukesh Nagar ¹, Jagbir Malik ¹, Varun Arora ¹, Savita Chahal ²

Affiliations
1 Department of Community Medicine Pt. BD Sharma University of Health Sciences, Rohtak, Haryana, IN
2 Department of Psychiatry, Pt. BD Sharma University of Health Sciences, Rohtak, Haryana, IN

Abstract

Domestic violence against women is a widespread, deeply ingrained evil, which has serious impact on health and well-being of the females. It is important to know the reasons for domestic violence for timely intervention. To study the reasons for domestic violence against married females of Haryana. It is a cross sectional study carried out on 880 currently married females of reproductive age group in both rural and urban areas of Haryana using Women's Questionnaire to find the prevalence of domestic violence. A specially designed semi structured questionnaire was administered to participants to assess the reasons for domestic violence. In rural area, the common causes of initiation of violence were arguing, substance abuse and poor family income. Arguing, substance abuse and refusal for sex were the common reasons stated by urban women. Breach of privacy was the most common reason reported by victims for not seeking help.

Keywords

Domestic Violence, reasons, arguing, substance abuse

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Anuradha ¹, Jagbir Malik ¹, Savita Chahal ², Amandeep Kaur ², Varun Arora ², Mukesh Nagar ²

Affiliations
1 Department of Community Medicine, Pt. BD Sharma University of Health Sciences, Rohtak, Haryana, IN
2 Department of Psychiatry, Pt. BD Sharma University of Health Sciences, Rohtak, Haryana, IN

Abstract

Domestic violence against women is a widespread, deeply ingrained evil, which has serious impact on health and well-being of the females. It is important to know the reasons for domestic violence for timely intervention. The objective of the study is to find out the reasons for domestic violence against married females of Haryana. It is a cross-sectional study carried out on 880 currently married females of reproductive age group in both rural and urban areas of Haryana using Women's Questionnaire to find the prevalence of domestic violence. A specially designed semi structured questionnaire was administered to participants to assess the reasons for domestic violence. It was found that in rural area, the common causes of initiation of violence were arguing, substance abuse and poor family income. Arguing, substance abuse and refusal for sex were the common reasons stated by urban women. Breach of privacy was the most common reason reported by victims for not seeking help.

Keywords

Domestic Violence, Reasons, Arguing, Substance Abuse.

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Amandeep Kaur ¹

Affiliations
1 Department of Soeiology and Soeial Anthropology, Punjabi University, Patiala, Punjab, IN

Abstract

The objectives of this study were to assess adherence to selection criteria in the recruitment of ASHA workers, to assess of their awareness regarding their roles and responsibilities and to assess their performance against theirjob descriptions in Malwa region ofPunjab state, India. For the present study, two districts, the district Patiala and the district Sangrur has been selected from the Malwa region ofPunjab, on the basis of high focusing and non-high focusing districts. Thirteen Community Health Centres has been selected trom two Districts. A total one hundred thirty (ASHA workers) respondents has selected for the purpose of study. Primary data has collected with the help of interview schedule. The seven blocks of district Sangrur and six blocks of district Patiala were visited to conduct interview, focused group discussion and observation. Interview schedule prepared to get the views of ASHA workers regarding National Health Mission. Data collected through interview schedule has supplemented through observation. In order to have a deep insight into the feedback of respondents towards the scheme, it becomes necessary to deal with the socio-economic characteristics of the respondents include age, education, caste and family income. ASHA workers predominantly involved in certain task: knowledge about medicine kit, knowledge about Ante Natal Checkup and Post Natal Checkup, awareness about the Newborn Care, accompanying of ASHA worker with women at Hospital, registered Case under Asha Worker, knowledge regarding various component of Mother and Child health. Conclusion ASHA workers were largely recruited as per pre-set selection criteria with regard to age, education, family status, income, and residence. ASHA workers were found to be functional in some areas with scope for improvement in others. The role of ASHA workers was perceived to be more of a link worker and facilitator rather than a community health worker.

Keywords

ASHA Workers, Socio-Econnomic Status, Health.

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Amandeep Kaur ¹, Tejpreet Kaur Kang ¹

Affiliations
1 Department of Human Development and Family Studies, Punjab Agricultural University, Ludhiana, Punjab, IN

Abstract

The present study was conducted to assess the relationship of mental health with suicidal ideation among adolescents. The study was based on 240 adolescents (i.e., 120 rural & 120 urban) in the age range of 16-18 years. The sample was randomly drawn from four Government Senior Secondary Schools purposively selected from rural as well as urban areas of Ludhiana district. Suicidal Ideation Scale by Sisodia and Bhatnagar (2016) was used to assess suicidal ideation of the respondents and the scale consisted of 25 items whereas Mental Health Battery by Singh and Sengupta (2000) was used to assess the mental health of the adolescents and the battery consisted of 130 items. Results revealed significant gender-wise and locale-wise correlation between mental health and suicidal ideation among adolescents.

Keywords

Mental Health, Suicidal Ideation, Adolescents, Rural and Urban.

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