Open Access Original Research Article

Occupational Safety and Health Hazards in the Informal Non-food Manufacturing Sector in Kampala City, Uganda

Stephen Aurice Wekoye, Wilkister Nyaora Moturi, Stanley Maingi Makindi

Asian Journal of Medicine and Health, Page 1-13
DOI: 10.9734/ajmah/2019/v14i230094

The informal non-food manufacturing sector is an engine of growth and development in both developed and developing countries. This particular sector is unregulated and unregistered in official government statistics. It is a heterogeneous sector found in open places, road reserves and marginal lands. However the sector is faced with occupational safety and health hazards without preventive measures. The study assessed occupational safety and health hazards in the informal non-food manufacturing sector in Kampala City, Uganda. The study adopted a cross sectional survey design that involved both qualitative and quantitative data collection techniques. A total of 424 firms were sampled from the 6 clusters of the informal sector. Primary and secondary sources using questionnaires, checklists and interview guide were used in data collection. Various types of hazards inherent in the informal non-food manufacturing sector in Kampala that included; physical, chemical, mechanical, biological, ergonomic and psychosocial hazards were identified. There are a lot of hazards in the informal non-food manufacturing sector with inadequate preventive measures. Hence the urgent need to address the situation by creation of awareness, training, and provision of OSH regulations, inspection and enforcement by the relevant regulatory agency as well as proactive multi-media strategies to improve the situation.

Open Access Original Research Article

Water, Sanitation and Hygiene Practices in Rural Area of Goa: A Cross-sectional Study

Nilam Gaude, Archana Dessai

Asian Journal of Medicine and Health, Page 1-6
DOI: 10.9734/ajmah/2019/v14i230095

Introduction: Access to water, sanitation and hygiene is a major challenge in developing nations and more among rural population. In India, Swachh Bharat Mission was launched with the objective to provide sanitation facilities and eliminate open defecation.

Objective: To assess the existing facilities and practices related to drinking water, sanitation and hygiene among household members in the rural population of Goa.

Materials and Methods: A cross-sectional study was conducted in the field practice area of Rural Health and Training Centre, Mandur, Goa. Individuals aged ≥ 18 years were interviewed from 100 households by house to house visits using semi-structured questionnaire.

Results: Out of 100 households, 87 (87.0%) were having piped water supply into dwelling, 5 (5.0%) were using public tap and 8 (8.0%) were using water from well. Majority of the households, i.e., 94 (94.0%) were using sanitary latrine for defecation, 1 (1.0%) had community toilet and 5 (5.0%) were practicing open field defecation. Closed container was used by 89(89.0%) of the households for storing drinking water and 96 (96.0%) were using soap and water for hand washing.

Conclusion: This study revealed that overall water and sanitation practices among the study population were satisfactory. However, measures need to be taken to abolish some of the bad practices such as open defecation and drainage of waste water in the open which was seen in few participants.

Open Access Original Research Article

Help Seeking Pattern among Postpartum Women Exposed to Intimate Partner Violence in Osogbo, Nigeria

Abiodun Adejoke Deborah, Abiodun Afolabi Benjamin, Eegunranti Adekunle Benjamin

Asian Journal of Medicine and Health, Page 1-8
DOI: 10.9734/ajmah/2019/v14i230096

Aim: Intimate partner violence (IPV) is a public health issue in both developed and developing countries. A view of IPV as a personal problem, often reinforced by community and perpetrator denial as well as fear of retaliation and social ostracisation, deter many women from confiding in others and seeking help. The study aimed to assess help seeking pattern and knowledge about non-governmental organizations (NGO) among postpartum women attending postnatal and infant welfare clinics of LAUTECH Teaching Hospital (LTH), Osogbo.

Study Design: This was a cross-sectional study.

Place and Duration of Study: This study was conducted at LTH, Osogbo Nigeria, between September and November 2015.

Methodology: The study was conducted among 220 consenting postpartum women attending postnatal and infant welfare clinics of LAUTECH Teaching Hospital, Osogbo using composite abuse scale and socio-demographic questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21.

Results: Majority of those who experienced IPV, 42 (71.2%) did not seek help. Among the 28.8% that sought help, majority used informal strategies like mother and other family members. Ninety-four percent of those who sought help said it was helpful and sixty-one percent of those exposed to intimate partner violence are aware of non-governmental organizations.

Conclusion: There is need to strengthen the family members on how to support those exposed to intimate partner violence (through education on the media) since many women prefer them to formal services and more awareness creation about existence of NGO is needed.

Open Access Original Research Article

Direct Financial Cost of Diabetes Mellitus among Adult Sudanese Patients in Khartoum State 2016-2017

Mahmoud Elnil, Zeinab Swaraldahab, Sulaf Ibrahim Abdelaziz

Asian Journal of Medicine and Health, Page 1-8
DOI: 10.9734/ajmah/2019/v14i230097

Background: Diabetes mellitus is a chronic disease with devastating short and long-term complications that affect productivity. The corner stone for diabetes care is tight glycemic control with regular follow up. To achieve this care, medications and other health care services must be available and affordable.

Objective: To estimate the direct cost of diabetes mellitus care among adult patients in Khartoum state.

Methods: Cross-sectional study using multi-stage sampling technique to select the facilities proportional to population size. Patients were interviewed using questionnaire.

Results: The total annual cost of Diabetes was estimated to be 3820 Sudanese pound (SDG) per person. Hospitalizations fees accounted for the major portion of the cost. Forty-seven percent of the patients were admitted with diabetes related problems during the previous year. One in four of the diabetic patients had no sufficient supply of medications.

Conclusion: The total annual cost was significantly lower among those with regular follow up visits than those with irregular visits (P < 0.03). Emphasis should be put on providing affordable and available health services and medication especially at PHC level.

Open Access Policy Article

Government Health Insurance Schemes for Differently Abled – A Swot Analysis

Lakshmi Krishnan, P. D. Madankumar

Asian Journal of Medicine and Health, Page 1-6
DOI: 10.9734/ajmah/2019/v14i230098

Background: Health schemes and policies are not a post independence phenomena, they have been in our Indian histories since 1946. Despite advancements in health care systems, India still faces the problem of health inequality seen commonly among the underserved population. One such population which suffers the agony of both health and oral health problems are the disabled population.

Methodology: SWOT analysis done.

Results: Only two government health schemes are available for differently abled population, among these two, only one (Niramaya Scheme) offers insurance for oral health.

Conclusion: There is an urgent need to evaluate these two schemes and bring about an appropriate integrated health scheme for the differently abled.