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Articles of Volume : 3 Issue : 1 | |
| Change in Climatic Conditions Promotes the Growth and Reproductive Potential of Weeds - A Case Study of Gautam Budh Nagar District | Author : Riti Thapar Kapoor1 | Abstract | Full Text | Abstract :Weeds are unwanted plants and these are also called as silent robbers of plant nutrients, solar
energy, soil moisture and space which would otherwise be available to the main crop. Approximately
ten percent of all plant species are weed species and they reduce the quality and quantity of
agricultural production and they also produce allergens which adversely affect the health of humanbeings
and animals. In the present study the distribution pattern of weeds was studied in Gautam
Budh Nagar district in different season. The significant increase in growth and reproductive potential
of weeds was observed under the conditions of elevated temperature in summer season. |
| | Clean, Safe and Healthy Environment: From Home to Workplace | Author : Jugal Kishore1 , Inakshi Naik2 , Ashish Mittal3 | Abstract | Full Text | Abstract :Occupational and environmental health related problems are found in every workstation and
country. Still the budget allocation for prevention and control of such diseases is poor. Simple
measures such as cleanliness, personal protection can be adopted by all workers and employers
can ensure its implementation. In a series of organizing conferences and workshops for last 5
years, seven preconference workshops and an international conference with theme of clean,
safe and healthy environment-from home to workplace was organized in 2016 with the objective
of increasing the skills among occupational health professionals. More than 129 research papers
were presented by the young scholars and doctors. Proceedings of the conference and
workshops have been given in the present article. |
| | A Qualitative Study of Psychosocial Work Environment among Sanitation Workers of a Teaching Hospital in South India | Author : Cynthia S Subhaprada1 , Venkateswarlu Uppara2 , Sreedevi Arepalli3 | Abstract | Full Text | Abstract :Objective: Occupational health, today, looks at a new idea, i.e., psychological health and safety
which is about safeguarding the psychological health of employee by providing a workplace that
promotes employees’ psychological well-being by preventing psychological harm to employee. The
purpose of this study is to assess the psychosocial work environment among sanitation workers.
Methods: A qualitative study was carried out during June-July, 2016 among women sanitation
workers of Kurnool Medical College, Kurnool, Andhra Pradesh, South India. Institutional Ethical
Committee clearance and the permission from the work supervisor were obtained. Out of 33
women sanitation workers, 10 women fulfilling the inclusion criteria, selected by purposive and
criterion sampling, were identified as the discussion participants. Informed consent was obtained.
Focus group discussion was conducted to explore the opinions and views on their psychological wellbeing
influenced by job satisfaction, psychosocial safety, social support, workload and physical
health. The observations were recorded and qualitative data analysis was done by ordering and
coding.
Results: The preliminary thematic analysis of data showed that all of them agree on job satisfaction,
social support, good interpersonal relations and sufficient time to complete the allotted work on a
single working day of 8 hours duration, hence psychological safety and protection. Most of them
opined that they did not have to quit the job due to work related health issues but were of the view
that in the long run, they would develop knee joint problems and backache. They suggested that
incentives and rewards need to be given to boost them. Job insecurity was a common fear among
them as it is contractual in nature.
Conclusions: Good interpersonal relationship, social support and good psychosocial environment are
the common themes. They should be given assurance on job security with periodic performance
appraisal.
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| | Enhancing Coverage and Service Uptake among Migrants: Learning’s from Pilot Project in India | Author : Debasish Chowdhury1 , Sunil Babu Mekale2 , Ashok Agarwal3 , K Madangopal4 , Shantanu Purohit5 | Abstract | Full Text | Abstract :Background: The migrant intervention in India was initiated during the National AIDS Control
Program (NACP) Phase-2 (2002-2007). Even by the end of NACP Phase-3 (2010-11); the coverage of
migrants remained very low. USAID PHFI-PIPPSE project in collaboration with the National AIDS
Control Organization worked on development of Migrant Service Delivery System (MSDS) to track
migrant’s movement and to enhance coverage of migrants across source-destination corridors. In
India, there are three important migration corridors; this abstract presents the experience of MSDS
across Thane-Uttar Pradesh (UP) Corridor.
Description: MSDS is a web-enabled system, designed and rolled out to track migrants’ movements
across corridors. Under MSDS, migrants at Thane (destination) were enrolled into the program and
were given unique IDs to track their service uptake across the source-destination corridor. All
registered migrants were classified by their service requirements and movement pattern. For
migrants visiting source districts in UP, pre-departure information was shared online (through
MSDS) from Thane with program implementers at source districts in UP for identifying geographies
of high out migration and deciding on the timing for conducting health camps during their stay in
native state.
Lessons learned: The 83 health camps organized in UP during 2015-16 indicated that footfalls of
migrants per camp was 132 where geography and timing for organizing camps was done through
MSDS compared to 82 per camp organized in non-MSDS sites. Moreover, with the strategic planning
of the health camps, yieldin MSDS sites in terms of HIV positivity was twice (1.1% in MSDS sites vs
0.5% in non MSDS sites).
Conclusions/Next steps: MSDS provided an innovative way of identifying the geographies (blocks and
villages) of high out migration. This helped in organizing health camps at prioritized locations leading
to increase in coverage and HIV testing yield. |
| | Noise-induced Hearing Loss - A Universal Phenomenon among Cotton Spinning Mill Workers | Author : Joshi Mohan1 , Raghavendra Gumastha2 , Puri Mahesh3 | Abstract | Full Text | Abstract :A cross-sectional study among 497 male workers working for more than 5 years in a cotton spinning
mill in a rural area was conducted to assess prevalence and some epidemiological factors associated
with noise-induced hearing loss (NIHL), and to measure noise levels in various sections to which
workers are exposed. The NIHL was assessed as per WHO definition by diagnostic audiometer ELKON
-EDA -3N3. The noise level assessment was done in different working shift timings by BOSSTEK -7
Range Sound Level Meter. Though there was no profound hearing impairment in any of the study
subjects, 78.07% of the study subjects have shown definite NIHL amongst them. Though NIHL was
universal amongst the study subjects exposed to category III noise level, 68.35% of study subjects
amongst 79 study subjects exposed to category II were also found to have NIHL. Even amongst the
158 study subjects exposed to category I noise level, 46.83% were having NIHL. Among study
population, 68.2% of the study subjects were exposed to noise level of more than 85 dB, out of
which 260 study subjects (52.31%) were exposed to category III noise level, where NIHL was
universal, i.e., 100%. It has been observed that the Doubling and Ring Frame sections were the
noisiest sections, where 52.31% of the study subjects were working. Though 16.1% of the study
subjects were using ear plugs, they were from Category II and Category III noise levels. Even at
Category III noise level (>90 dB), the PPD usage was 18.85% where NIHL prevalence was 100%. The
prevalence of NIHL had statistically significant association with age of worker, their educational
status, length of service, workplace noise level and use of personal protective devices. Considering
the high prevalence of NIHL among these workers, certain proactive measures including engineering
measures are strongly recommended for the control and prevention of this preventable morbidity. |
| | Occupational Hazards and Health Problems in Microenterprise Workers in an Urban Slum in Delhi, India | Author : Satpinder Jit1 , Aditi Kumar2 , Mrinmoy Adhikary3 ,Neha Taneja4 , Jugal Kishore5 , Joyce Felicia Vaghela6 | Abstract | Full Text | Abstract :Background: Microenterprises contribute in employment generation and are often the main source
of income in urban slums. The main challenges in microenterprise workers include occupational
hazards and inadequate safety and health standards. Still there is very limited data on occupational
exposure and health problems in this informal sector.
Objectives: 1.To assess occupational hazards and health problems in microenterprise workers. 2. To
assess the knowledge and practices regarding health problems and personal protective equipment’s
(PPEs) among them.
Material and Methods: A cross sectional study was conducted among all the available and
consenting microenterprise workers who met the inclusion criteria. Data was collected using a
questionnaire containing items to assess the occupational hazards and health problems. It also
included items to assess their knowledge and practices regarding occupational health.
Results: 1306 workers were interviewed. All the workers were exposed to at least one occupational
hazard. The most common exposure was dust/smoke (61.7%) followed by noise (45%). Other
exposures include chemical/metal, fumes/vapours, heat, radiation and vibration. There was a high
level of self-reported occupational health problems (87.6%). Musculoskeletal symptoms (76%) were
the most predominant symptom followed by ocular complaints (41.6%). Majority of the workers
were aware of the health problems associated with their occupation and 7.8% were aware of PPEs.
However, only 3.2% were using PPEs.
Conclusion: Our study suggests that workers have exposure to multiple health hazards and that use
of PPE is poor. Musculoskeletal symptom was the most common health problem. There is a need for
improved occupational health and safety provision. |
| | Self-Medication: Awareness and attitude among undergraduate medical students in a Medical college of Haryana | Author : Srishti Singh1 , Meenakshi Kalhan2 , JS Malik3 , Nitika Sharma4 , Anuj Jangra5 | Abstract | Full Text | Abstract :Introduction: The practice of self-medication is becoming more common worldwide and
currently plays a major role in self-care. The objectives of our study were to determine the
perception and level of awareness, attitude and pattern of self-medication among the medical
students.
Methods: The study was conducted among 464 MBBS students of a medical college of Haryana
using a self-administered questionnaire from March- April, 2016.
Results: 84% participants consumed OTC medications which commonly were supplements and
vitamins followed by painkillers, flu/cough remedies and sore throat products. Easy access,
convenience and time saving were the most frequent reasons for self-medication.
Conclusion: Lack of awareness regarding drug interaction is an issue that warrants further
intervention by increasing the knowledge so as to prevent adverse events from the drugs. |
| | Standard Infection Control Practices among Peripheral Health Care Workers: A Knowledge, Attitude and Practice Study from a Rural Haryana | Author : Sandeep Jain1 , RB Jain2 , Rajesh Garg3 | Abstract | Full Text | Abstract :Background: Globally, around 2.5% of HIV and 40% of HBV among Health Care Workers (HCWs) are
attributed to occupational exposure with an overall incidence of occupational exposure to blood/body
fluids among HCW as 32.3%. There exists a gap between the knowledge and practice of standard infection
control practices among HCW. Failure to follow these standard protocols leads to loss of precious work
hours of this skilled work force.
Methods: To know the knowledge, attitude and practice regarding standard infection control protocols, a
community based, cross- sectional, analytical, non –interventional study was planned among health care
workers at a Rural Community Health Centre (CHC) , Dighal of district Jhajjar (Haryana). A total of 50 HCWs
were included in the study. The study was conducted during the months of July –August, 2016.
Results: About 56% of HCWs were having the knowledge about the correct steps of hand washing but only
20% were actually practicing hand washing before administrating injections. Only 28% of participants were
correctly using hub-cutter and needle destroyers after the injection practices. It was observed that 42% of
subjects were still trying to re-cap needles after the injections. 60% of subjects felt that using standard
precautions was cumbersome. 74% of the subjects felt that using standard precautions was expensive. 54%
of study subjects felt that it was difficult to follow stand precautions in government institutions due to
logistics issues. Only 28% of the participants had received complete vaccination against Hepatitis B.
Conclusion: There exists a huge gap between the knowledge and practice of standard infection control
protocols. Among most of the HCWs, the attitude was not positive towards using standard precautions
despite having knowledge. Lack of initiative from the higher up officials, poor training, poor monitoring
further complex the issue. Regular monitoring and supervision, capacity building of HCWs along with
regular logistic supply are recommended. |
| | Status of Women Empowerment - A Study in the Rural Area of Muzaffarnagar | Author : Tauseef Alvi1 , Nirankar Singh2 , JV Singh3 , Shruti Sehgal4 , Santosh Kumar Raghav5 , Rama Shankar6 , Sangeeta Jain7 , Shailendra Kumar 8 | Abstract | Full Text | Abstract :Introduction: Women empowerment is the empowerment of women, which helps them to take their
own decisions by breaking all personal limitations of the society and family. Freedom of movement
outside home is an important aspect of women’s autonomy and empowerment. The overall health
of the society cannot improve without the involvement of women. Empowering women is to make
them independent in all aspects from mind, thought, rights, decisions, etc., by leaving all the social
and family limitations. It is to bring equality in the society for both male and female in all areas.
Women empowerment is very necessary to make the future of the family, society and country
bright. Women need fresh and more capable environment so that they can take their own right
decisions in every area whether for themselves, family, society or country. In order to make the
country fully developed, women empowerment is an essential tool to get the goal of development.
Objectives: To assess the status of women empowerment in the study area; to suggest measures to
improve the level of involvement of women in various issues impacting the health of the society.
Study Design: Descriptive study. Involvement of all women aged 25 and above
(married/divorced/widowed). Area of study is rural Muzaffarnagar. Sample size – 200 (purposive
sampling). Semi-structured interview schedule.
Study Duration: 1
st August to 31st August, 2016 |
| | Posturedontics: Stressing on Strain Reduction | Author : Rashmi Mehra1 , Vikrant Mohanty2 , Aswini Y Balappanavar3 , Vipul Yadav4 , Shivam Kapoor5 | Abstract | Full Text | Abstract :Dentistry is an exacting and physically demanding profession which requires absolute accuracy
and precision on part of the dentist. In the pursuit to bring that perfect smile on the face of the
patient, the dentist many a times is subjected to pain and discomfort.
Most of the clinical time of a dentist’s life constitutes long durations of an awkward posture,
steady hands and precise movements. It is, hence, a profession hounded by musculoskeletal
disorders (MSD’s) since its very inception. Dentists are forced into unhealthy postures and
strained positions according to their working conditions for long stretches. Muscular pain and
soreness are usually slow to appear in dental professionals. However, if the detrimental postures
or movements continue to be repeated, they may finally pave the way for crippling conditions
affecting different parts of the body including joints, muscles, tendons and nerves. This in turn
results in decreased working capacity and efficiency. |
| | Summative Approach for Slum Adolescents | Author : Vivek Gupta1 , Amit Singh Pawaiya2 , Neha Tyagi Mishra3 , Ramanpreet Kaur4 , Ritika Goel5 , Ritika Kishore6 , Shivangi Sinhal7 , Sukriti Azad8 | Abstract | Full Text | Abstract :Background: Urban slums in India are neglected communities as far as public health facilities are
concerned. There is no health infrastructure since these slums are largely illegal and unauthorized.
This community has poor awareness of health schemes and other social security benefits provided
by the government. No initiatives have been taken to provide vocational training to empower this
economically weaker and neglected section of the society.
Objectives: To generate health awareness among the slum adolescents on various issues related to
health, especially menstrual hygiene, personal hygiene, household methods of water purification as
well as safe disposal of waste and also make them economically independent.
Methodology: A summer workshop was conducted for a period of one week by MBBS students in the
urban slums of Bhangel, during the summer vacations time of school going children. Two groups of
slum adolescents were recognized. One group had younger adolescents and the other had older
adolescents who acted as guides for the younger group. Health awareness sessions were conducted
for these children everyday on community relevant health topics like personal hygiene, menstrual
hygiene, water purification techniques, etc., along with teaching them some vocational skills like first
aid box making, mehendi application, lipstick making, making of dust bins, etc. They were also taught
marketing and selling skills. Both these groups were asked to identify another group of young
adolescents and teach them what they learnt in the workshop, under observation of the medical
students.
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| | Women, work and health: A Pilot study | Author : Joyce Felicia Vaghela1 , Neha Taneja2 , Abha Mangal3 | Abstract | Full Text | Abstract :Introduction: There exist deep-rooted stereotypes regarding the roles and responsibilities of
women and men in the family. The working women face tough challenges in maintaining a
balance between their health and work i.e. personal and professional life. This affects their
physical, emotional and social well-being.
Aims & Objectives: To study ‘women of 21st century and their work and health’. To compare
various health aspects and work related aspects of working and non-working married women.
We hypothesize that at least 60% women in today’s world are satisfied with life.
Design: It is a cross-sectional comparative study. The study was conducted among 35 housewives
and 35 working women. The study took place from 1st to 10th July 2016. They were asked
questions related to their work and health.
Results: Our study showed that non-working women are 3.57 times more likely than working
women to get married at age <,= 18 years and are also 5.53 times more likely to have more than
two children. Some 31 (88.6%) of working and 19 (54.3%) of non working women agree that
women work more than men. The non-working women were less supported at home for
household chores than the working women. Working women are 7.67 times more likely to be
financially independent than non working counterparts. The personal satisfaction level was
found to be 31 (88.6%) in working and 29 (82.9%) in non-working women.
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| | Comparison of Burnout Levels among Health Care Professional Students in Delhi | Author : Neetu Grewal1 , Vikrant Mohanty2 , Aswini Y Balappanavar3 , Vipul Yadav4 , Shivam Kapoor5 | Abstract | Full Text | Abstract :Introduction: The “burnout” syndrome is characterized by three essential components: physical
and/or psychological tiredness, denominated by emotional exhaustion (EE), depersonalization (D)
and lack of personal accomplishment (PA). It’s a work-related condition which inevitably reduces the
work performance and has been reported in various professional groups including physicians and
dentists.
Aim and Objective: To determine and compare the burnout levels among final year students and
interns in medical and dental professional students in Delhi.
Methodology: This cross-sectional survey was carried among 120 medical and dental students
including interns and final year students. The Maslach Burnout Inventory Survey, including the
emotional exhaustion, depersonalization, and personal accomplishment scales, and the demographic
information were used to evaluate level of burnout.
Results: Moderate burnout levels were found among both the study groups. Personal
accomplishment (PA) was significantly higher in dental students as compared to medical students.
(p<0.05)
Conclusion: In the present study significant prevalence of burnout was found among the medical and
dental students which can adversely affect their performance and development. Every effort should
be made to prevent it at early stages which call for modifications in the working environment as well
as at the personal level. Longitudinal studies should be conducted to identifying stressors which
contribute the most to burnout. |
| | Benefits of Engaging in Corporate Social Responsibilities | Author : K Madan Gopal1 , Shantanu Purohit2 , Neeraj Dhingra3 | Abstract | Full Text | Abstract :The Government of India has taken significant measures to curb the spread of HIV, at both national and state levels
through National AIDS Control Program. During phase III of AIDS Control Program, the National policy on HIV/AIDS and
the world of work, has been prepared with a focus to mobilize the organized and unorganized sectors of Industry for
taking care of the health of the productive sections of their work force. At the same time, there have been examples
of initiatives taken by the industries in the organized and unorganized sectors as well as industry associations such as
CII, FICCI and ASSOCHAM, in complementing the national program through provisions of HIV, STI prevention, care and
treatment services to the work force. |
| | Development of Safety Guidelines for the Healthy, Safety and Happy Workplace Project | Author : Anantagulnathi Pensri1 , Wirichai Rungprakai2 | Abstract | Full Text | Abstract :As in Thailand, working population is accounted 56 % of total population. The Ministry of Public
Health reported that this population has been facing with not only occupational diseases and
injuries, but also the NCDs e.g. high cholesterol etc. The Ministry, therefore, has launched the
policy in 2012 to reduce health problems; occupational diseases and injuries, NCDs, and increase
happiness through the Healthy, Safety, and Happy Workplace Project. The committee from three
main departments has set up the criteria for audits, checklist, and guidelines for workplaces to
improve their health, safety, and happiness conditions. This paper is to elaborate process of
development of safety guidelines for the project and describe its outcomes.
Process of development of the safety guidelines includes; 1) Reviews of related safety
regulations; 2) Analysis of contents for workplaces safety conditions improvement e.g. 5s,
accident prevention, construction safety, machine and electrical safety, chemical safety, fire
protection, PPE control, emergency plans, work conditions monitoring; 3) Synthesis the contents;
and 4) Rewriting of new easy understanding guideline for workplaces to follow and improve
safety conditions and prompts for audit by health officers. Workplaces would be informed and
applied on their voluntary basis. Those passed the audit would be awarded the certificates issued
by the Ministry.
Since 2012, there were 1500 workplaces applied to this project. The health problems among
these workplaces were the NCDs e.g. high blood pressure, high cholesterol from 20-60% through
annual health examination. Good safety conditions were found in large enterprises, but quite
poor in small enterprises. The safety guidelines was found useful for large and medium
enterprises to improve their safety conditions, but for the small and local community enterprises
the guidelines was found to be constraints for them and need to be improved for less rigid safety
audit/checklist. |
| | Understanding Pathways to Health with Legacy of Caste among Sanitation Workers: An Eco-Social Approach | Author : Deeptesh H Kadam1 , Nilesh C Gawde2 | Abstract | Full Text | Abstract :High levels of mortality and morbidity in sanitation workers can be attributable to the type of
occupations they are engaged in, especially in India. Major diseases such as cardiac disorders, HIV and
tuberculosis have an impact on their lives. Bacterial and viral infections are commonly observed among
them. The nature of their work leads them towards alcoholism, smoking and unsafe sex. Overall, there is
a better understanding of the physical environment to which the sanitation workers are exposed, but
the psychosocial exposures to which the workers are thoroughly exposed needs a social approach while
investigating social determinants. Thus the patterns of health, disease and well being of sanitation
workers in biological sense can be explained in terms of social relations, in our case, caste, social
environment and occupation. Caste is an important intrinsic feature which specifies the occupation
allied to it. Sanitation workers are mostly ‘Dalits’ who stand in the lowest hierarchy in the Indian caste
system. Due to the inter-generational transfer of occupation and stigma associated to the kind of
occupation they are socially prohibited. |
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