BENEFICIARIES' PERSPECTIVE IN REDUCING CHILD DEATHS DUE TO MALNUTRITION IN TRIBAL DISTRICT OF MAHARASHTRA: A QUALITATIVE STUDY

2021 ◽  
pp. 177-180
Author(s):  
Lalit Sankhe ◽  
Chhaya Rajguru ◽  
Akshada Shinde
Keyword(s):  
Decision Making ◽  
Cultural Beliefs ◽  
The Elderly ◽  
Malnourished Child ◽  
Power Dynamics ◽  
Cross Sectional ◽  
Child Deaths ◽  
The Family ◽  
Education Levels ◽  
Stable Source

This study was an attempt to understand the perceptions of the beneciaries towards various services provided by Government for reducing the problem of child deaths due to malnutrition and the challenges faced. Three talukas from Palghar were chosen based on the child malnutrition status in those talukas. A descriptive cross sectional, community-based study was conducted. Data was collected through focus group discussions conducted in representative and homogeneous samples of the beneciaries, viz., adolescent girls, pregnant/lactating mothers, mothers with toddler/malnourished child, mother-in-law and husbands. It was found that the main challenges posed to the beneciaries were category specic. The major challenges were poverty, lower education levels, socio-cultural beliefs, practices and problems in having a stable source of income for livelihood which leads to constant migration. The power dynamics regarding decision making in every household rests with either the males or the elderly of the family thus leaving very little scope for women of the family to make any choices about their own health or nutrition. Hence, these decision-making power dynamics are yet another major reason for driving malnutrition across the life course.

Hubungan Sikap dan Karakteristik Pasangan Usia Subur (PUS) dengan Keikutsertaan dalam Program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur

2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
The Elderly ◽  
P Value ◽  
Planning Program ◽  
Elderly Age ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Relationship Of

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik

scholarly journals Family functioning of elderly with depressive symptoms

2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Family Functioning ◽  
Family Health ◽  
Female Gender ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dysfunctional Family ◽  
The Family

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.


The global mobility decisions of professional sailors’ spouses

2017 ◽  
Vol 5 (2) ◽  
pp. 203-219 ◽  
Author(s):  
Joanne Mutter
Keyword(s):  
Decision Making ◽  
Longitudinal Research ◽  
Cross Sectional ◽  
Conceptual Foundation ◽  
Content Type ◽  
Work Related ◽  
Global Mobility ◽  
The Family ◽  
The Impact ◽  
Stay Behind

Purpose The purpose of this paper is to identify the factors informing spousal global mobility decisions within the context of sporting expatriation. Findings contribute to the non-corporate global mobility literature as well as providing an empirical enhancement to the family relatedness of work decisions framework. Design/methodology/approach In this qualitative study, in-depth interviews gave voice to 21 spouses of professional sailors who have experienced both trailing their spouse and staying behind. Findings Access to empathetic social support, the potential impact on children, and the spouse’s career were all found to influence the spouse’s dynamic global mobility decision making. Research limitations/implications The study is limited by the cross-sectional nature of the research. Future longitudinal research into the impact of spousal preferences would identify the on-going effect of their decision(s) to relocate or to stay behind. Practical implications Providing organisations with an understanding of the familial issues their global talent may factor into their work mobility decisions will allow them to implement appropriate family-focussed support, irrespective of the choice to engage, or not engage, in global mobility. Originality/value By grounding the study in the under-researched sporting arena, the author contributes to the emerging non-corporate expatriate conversation. Furthermore, the family relatedness of work-related decisions framework was found to provide a useful conceptual foundation for understanding decision making in an international context.

Perinatal hypoxic-ischaemic encephalopathy: a national survey of end-of-life decisions and palliative care

2019 ◽  
pp. bmjspcare-2019-001881 ◽  
Author(s):  
Juan Arnaez ◽  
Nuria Herranz-Rubia ◽  
Alfredo Garcia-Alix
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
End Of Life ◽  
Psychological Support ◽  
National Study ◽  
Prognostic Information ◽  
Cross Sectional ◽  
Grieving Process ◽  
The Family ◽  
Neurological Prognosis

ObjectiveTo explore end-of-life (EoL) decision-making and palliative care in hypoxic-ischaemic encephalopathy (HIE) nationwide.MethodsA cross-sectional national study on moderate-to-severe HIE in newborns ≥35 weeks’ gestational age in 2015, including all 57 level III units that offered hypothermia. Forty-one questions were included to explore how the prognosis is established, as well as timing of the decision-making process, and also how ongoing palliative care is offered.ResultsThe main difficulties in EoL decisions lie in the scarce time to make an early, accurate prognosis. Only 20% shared the neurological prognosis with the parents within 72 hours of life, and in only a third of the centres is the nurse present when the prognostic information is given to the family. Almost 50% do not use protocols to order the EoL process. Practically, all centres (91%) reported taking into account the wishes of the parents. However, in 30% the team does not always reach consensus on how the withdrawal process. Specialised psychological support is available in 54% of the hospitals; in more than 50%, interviews are not arranged to examine the grieving process with parents.ConclusionsThere are four areas for improvement in the comprehensive, multidisciplinary approach to the EoL decision in the patient with HIE: (1) the need for EoL and interdisciplinary palliative care protocols, (2) participation of nurses in the process and improvement in the nurse–physician communication, (3) psychological support for parents involved in the EoL decisions and (4) implementation of strategies to give support during the grieving process.

Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT DEPRESI PADA LANSIA

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Budi Kristanto ◽  
Rika Fitri Agustina
Keyword(s):  
Family Support ◽  
Elderly People ◽  
Research Result ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Mild Depression ◽  
Cross Sectional ◽  
The Family ◽  
Depression Level

Background : The incidence of depression in elderly people in Indonesia is currently high.Indonesia has entered the era of elderly population. In 2009, the number of people agedover 60 years about 7.18%. Depression is a major mental health problem today. This isvery important because the incidence of depression will badly affects the productivity ofpeople particulary in a developing society.Research purposes : This research was generally aimed to find out the relationshipbetween family support and depression level in elderly as well as specifically to identifyfamily support for elderly and identify depression level in elderly.Subject : Research respondents were elderly people aged 60 years and over in TelukanVillage Sukoharjo District.Method : This research is a correlation research with cross sectional approach to analyzethe relationship betwen family support with depression level in elderly in Telukan VillageSukoharjo District. In this study the researcher used a saturated sampling technique inwhich all members of the population was used as a research respondent accounted for60.Research result : The majority of respondents who good support from their family was58.3% while the rest 41.7% got less support. The majority of were normal category (80%)while those with mild depression by 20%. The results of analysis with PearsonCorrelation obtained p value = 0.000 and value r = - 0.559.Conclusion : There is a significant relationship between family support and the incidenceof depression in the elderly. The higher the family support the lower the incidence ofdepression in the elderly.Keywords: depression, family support, elderly

scholarly journals Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami
Keyword(s):  
Statistical Tests ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Cluster Sampling ◽  
Family Role ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

scholarly journals Riscos para o desencadeamento da osteoporose em idosos

2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional ◽  
Vitamina D ◽  
Health Strategy ◽  
Modifiable Factors ◽  
The Family ◽  
Family Health Strategy ◽  
Life Habits

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.

scholarly journals Exercising Interest in the Middle Age Group

2019 ◽  
Vol 4 (02) ◽  
pp. 214-223
Author(s):  
Jeki Haryanto ◽  
Wilda Welis
Keyword(s):  
Middle Age ◽  
Sampling Technique ◽  
The Elderly ◽  
Age Group ◽  
Guttman Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Family ◽  
Age Range

This research begins with a phenomenon that occurs in Air Hangat Subdistrict, Kerinci Regency, which shows that a lack of interest to do sport in the middle age group (45-59 years old). This study aims to find out how interested this age group is in exercising. This type of research is a cross-sectional survey research that is describes a particular situation or situation as it is with the process of taking data only takes place at one time. The subjects in this study are the elderly who are in the middle age category, namely the elderly who are in the age range of 45 - 59 years who do sports in the Air Hangat subdistrict of Kerinci Regency (N=33). The sampling technique used in this research is sensus sampling which mean making the entire population as a sample. The data in this study was collocted using a Guttman scale questionnaire. The data is analysed using descriptive statistics. Based on the results of data analysis, it shows that the interest of the elderly in the middle age group to exercise is in the sufficient category. This is due to the lack of knowledge and role of the family, so their interest needs to be increased again with the hope that in the future this age group will be healthier.

Trends and Determinants of Contraceptive Use among Women in Nigeria: Does Decision Making Involvement Within the Family Count?

2021 ◽  
Vol 19 (1) ◽  
pp. 132-147
Author(s):  
Chukwuechefulam Kingsley Imo
Keyword(s):  
Decision Making ◽  
Contraceptive Use ◽  
Power Dynamics ◽  
Demographic And Health Surveys ◽  
Contraceptive Methods ◽  
Policy Interventions ◽  
The Family ◽  
Large Household ◽  
Integrated Policy ◽  
Childbearing Women

Contraceptive use has remained low among women despite family planning intervention programmes by government and non-governmental organisations in the period of public health preference, plausibly because of power dynamics within the family in Nigeria. This study examined the role of decision-making involvement in using contraceptive methods among childbearing women with data from three continuously Nigeria Demographic and Health Surveys conducted in 2008, 2013 and 2018. The study established that the lack of women’s decision-making autonomy on their healthcare issues, large household purchases and visits to family or relatives adversely affected their use of contraceptive methods. Besides, women having autonomy on how to spend their earnings were negatively associated with contraceptive use compared to those in the reference categories across the three survey years. There should be further integrated policy interventions and strategies aimed at community-based empowerment programmes of childbearing women towards achieving population equilibrium; and better maternal and child health outcomes in Nigeria

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