Abstract: Background: Maternal and child health (MCH) cares are the health services provided to mothers and children. It includes the health promotion, preventive, curative and rehabilitation health care for mothers and children. Materials and method: The present study sample comprises of 208 women within the age range 15-69 years from two remote villages of Tamenglong District in Manipur. They were randomly chosen for assessing their health as well as the child’s health adopting an interview schedule method. Results: The findings of the study revealed that majority (80%) of the women have their first conception in their first year of married life. A decadal change has been observed with regard to the last pregnancy i.e., antenatal check-up, place of delivery as well as the service provider. However, irrespective of age of the women, home delivery is still preferred though very few are locally trained. Pre- and post-delivery resting period vary depending on the busy schedule of the agricultural works as the population under study is basically agriculturist. Postnatal care remains to be traditional as they are strongly associated with cultural beliefs and practices that continue to prevail in the studied community. Breast feeding practices such as colostrums given, initiation of breastfeeding, weaning was all taken into account. Immunization of children has not reached the expected target owing to a variety of reasons. Maternal health care also includes use of birth control measures. The health status of women would invariably improve if family planning is meaningfully adopted. Only 10.1% of the women adopted the modern birth control implying its deep-rooted value attached to the children. Based on the self-assessment report on their health treatment a good number of the respondents resorted to self-medication even to the extent of buying allopathic medicine without a doctor’s prescription. One important finding from the study is the importance attributed to the traditional health care system which is easily affordable and accessible to the villagers. Conclusion: The overall condition of maternal and child care is way behind till now as no adequate/proper health services are available.
Abstract: This study investigates the impact of public healthcare facilities and socio-economic circumstances on the status of child health in Pakistan. The complete analysis is carried out in correspondence with fourth and sixth millennium development goals. Further, the health variables chosen are also inherited from targeted indicators of the mentioned goals (MDGs). Trends in the Human Opportunity Index (HOI) for both health inequalities and coverage are analyzed using the Pakistan Social and Living Standards Measurement (PLSM) data set for 2001-02 to 2012-13 at the national and provincial level. To reveal the relative importance of each circumstance in achieving the targeted values for child health, Shorrocks decomposition is applied on HOI. The annual point average growth rate of HOI is used to simulate the time period for the achievement of target set by MDGs and universal access also. The results indicate an improvement in HOI for a reduction in child mortality rates from 52.1% in 2001-02 to 67.3% in 2012-13, which confirms the availability of healthcare opportunities to a larger segment of society. Similarly, immunization against measles and other diseases such as Diphtheria, Polio, Bacillus Calmette-Guerin (BCG), and Hepatitis has also registered an improvement from 51.6% to 69.9% during the period of study at the national level. On a positive note, no gender disparity has been found for child health indicators and that health outcome is mostly affected by the parental and geographical features and availability of health infrastructure. However, the study finds that this achievement has been uneven across provinces. Pakistan is not only lagging behind in achieving its health goals, disappointingly with the current rate of health care provision, but it will take many additional years to achieve its targets.
Abstract: With the advancement of knowledge about the utility
and impact of sustainability, its feasibility has been explored into
different walks of life. Scientists, however; have established their
knowledge in four areas viz environmental, economic, social and
cultural, popularly termed as four pillars of sustainability. Aspects of
environmental and economic sustainability have been rigorously
researched and practiced and huge volume of strong evidence of
effectiveness has been founded for these two sub-areas. For the social
and cultural aspects of sustainability, dependable evidence of
effectiveness is still to be instituted as the researchers and
practitioners are developing and experimenting methods across the
globe. Therefore, the present research aimed to identify globally used
practices of social and cultural sustainability and through evidence
synthesis assess their outcomes to determine the effectiveness of
those practices. A PICO format steered the methodology which
included all populations, popular sustainability practices including
walkability/cycle tracks, social/recreational spaces, privacy, health &
human services and barrier free built environment, comparators
included ‘Before’ and ‘After’, ‘With’ and ‘Without’, ‘More’ and
‘Less’ and outcomes included Social well-being, cultural coexistence,
quality of life, ethics and morality, social capital, sense of
place, education, health, recreation and leisure, and holistic
development. Search of literature included major electronic
databases, search websites, organizational resources, directory of
open access journals and subscribed journals. Grey literature,
however, was not included. Inclusion criteria filtered studies on the
basis of research designs such as total randomization, quasirandomization,
cluster randomization, observational or single studies
and certain types of analysis. Studies with combined outcomes were
considered but studies focusing only on environmental and/or
economic outcomes were rejected. Data extraction, critical appraisal
and evidence synthesis was carried out using customized tabulation,
reference manager and CASP tool. Partial meta-analysis was carried
out and calculation of pooled effects and forest plotting were done.
As many as 13 studies finally included for final synthesis explained
the impact of targeted practices on health, behavioural and social
dimensions. Objectivity in the measurement of health outcomes
facilitated quantitative synthesis of studies which highlighted the
impact of sustainability methods on physical activity, Body Mass
Index, perinatal outcomes and child health. Studies synthesized
qualitatively (and also quantitatively) showed outcomes such as
routines, family relations, citizenship, trust in relationships, social
inclusion, neighbourhood social capital, wellbeing, habitability and
family’s social processes. The synthesized evidence indicates slight
effectiveness and efficacy of social and cultural sustainability on the
targeted outcomes. Further synthesis revealed that such results of this
study are due weak research designs and disintegrated implementations. If architects and other practitioners deliver their
interventions in collaboration with research bodies and policy
makers, a stronger evidence-base in this area could be generated.
Abstract: The purposes of the study were to evaluate the effectiveness of the Parent Training Program for Obesity Reduction (PTPOR) on health behaviors of school-age children. An Ecological Systems Theory (EST) was approached the study and a randomized control trial was used in this study. Participants were school-age overweight or obese children and their parents. One hundred and one parent-child dyads were recruited and random assigned into the PTPOR (N=30), Educational Intervention or EI (N=32), and control group (N=39). The parents in the PTPOR group participated in five sessions including an educational session, a cooking session, aerobic exercise training, 2-time group discussion sessions, and 4-time telephoned counseling sessions. Repeated Measure ANCOVA was used to analyze data. The results presented that the outcomes of the PTPOR group were better than the EI and the control groups at 1st, 8th, and 32nd weeks after finishing the program such as child exercise behavior (F(2,97) = 3.98, p = .02) and child dietary behavior (F(2,97) = 9.42, p = .00). The results suggest that nurses and health care providers should utilize the PTPOR for child weight reduction and for the health promotion of a lifestyle among overweight and obese children.
Abstract: Even though most researchers would agree that in
symbiotic relationships, like the one between parent and child,
influences become reciprocal over time, empirical evidence
supporting this claim is limited. The aim of the current study was to
develop and test a model describing the reciprocal influence between
characteristics of the parent-child relationship, such as closeness and
conflict, and the child-s bullying and victimization experiences at
school. The study used data from the longitudinal Study of Early
Child-Care, conducted by the National Institute of Child Health and
Human Development. The participants were dyads of early
adolescents (5th and 6th graders during the two data collection waves)
and their mothers (N=1364). Supporting our hypothesis, the findings
suggested a reciprocal association between bullying and positive
parenting, although this association was only significant for boys.
Victimization and positive parenting were not significantly
interrelated.