The health activities in the mountain, remote and deep areas have been many difficulties. In order to care better the people health in these areas, the ministry of health introduced major solutions, including the establishment of the center for the health communication and education, center for social disease prevention and control, establishment of the local general clinics, strengthen of the local health network, enhancement of the socialization of the health activities and building the communal health stations.
Delivery of Health Care ; Poverty Areas

No abstract available.
Communicable Diseases ; Nepal ; Poverty Areas

China ; Cost of Illness ; Demography ; Female ; Humans ; Maternal Mortality ; Poverty Areas

Adolescence is a critical period of life marked by biological, social and psychological changes for an individual. The objective of the study was to assess the knowledge and practices of adolescent girls pertaining to menstruation in an urban slum. A cross-sectional descriptive study of three months duration (January 2011 to March 2011) was conducted in an urban slum of Mumbai. All adolescent girls from 10-19 years of age, who had attained menarche, attending general out-patient department and STI clinic, were included. The total sample size of the study was 241. After taking the informed consent of the study respondents, participants were interviewed using a semi-structured questionnaire. The questionnaire comprised of eliciting information pertaining to the socio-demographic profile and reproductive health i.e. hygiene during menstrual periods, awareness about HIV/AIDS of the participants. Special care was taken to maintain privacy and confidentiality. Data entry and statistical analysis were done using SPSS version 17. Frequency distributions were calculated for all the variables and chi-square test was used to study the association between socio-demographic parameters and knowledge and practices about menstruation. It was observed that 79(32.8%) subjects had unsatisfactory menstrual hygienic practices. Even though 66% of adolescent girls were aware about the different modes of transmission of HIV, only 19% knew about safe sexual practices. Education status and late adolescent age group (15-19 years) had a statistically significantly association with adolescent girls knowledge about menstruation. Good/fair knowledge and education status was found to be significantly associated with good practices during menstruation. Study findings have revealed that education status of the adolescent girls was the most important determinant for having good menstrual knowledge. Also significant association was observed between education level and healthy menstrual practices. Thus steps should be taken to improve the literacy status of the adolescent girls for bringing about further improvements in the menstrual hygiene related knowledge and practices.
Menstruation ; Hygiene ; Adolescent ; Reproductive Health ; Poverty Areas ; India

The household survey was performed in a urban slum and a rural Chonnam areas to measure the level of illness and medical care utilization and to find the determinants of physician utilization. The data revealed that age-adjusted prevalence rates of acute and chronic diseases were much the same in both areas ranged between 10.0 to 11.3%. But medical care utilization was more frequent in urban slum than in rural area. The facility of the first medical contact was also different. Some personal and disease related variables including disease severity and activity restricted day were significantly, but somewhat differently by area, associated with physician utilization pattern. When applying Anderson model, the medical need factors explained 42.2 and 40.4% of physician utilization in urban slum and in rural areas respectively, while the enabling factors explained 18.0 and 12.2% and the predisposing factors explained 17.1 and 8.9% correspondingly.
Causality ; Chronic Disease ; Family Characteristics ; Humans ; Jeollanam-do ; Poverty Areas ; Prevalence

The postoperative complications of frontalis sling for severe blepharoptosis with poor levator function have included undercorrection, overcorrection, exposure keratitis due to lagophthalmos, lid lag. upper lid asymmetry etc, External levator resection with aponeurotic approach was performed for 77 blepharoptosis patients (106 eyelids) with poor levator function from October 1987 through April 1996 at the Department of Ophthalmology, Yeungnam University, College of Medicine. Unilateral blepharoptosis were 44 eyelids and bilateral cases included 62 eyelids. Levator function was measured 4nim in 23 eyelids, Slum in 22 eyelids and 0-2iBin in 61 eyelids, After the follow up periods of 12-108 months (mean 36.3 months) , satisfactory resuite have been achieved in 44 eyelids (100%) of unilateral ptosis and in 30 eyelids (90.9%) of bilateral ptosis. All eyelids with 4mm levator function was successful, 22 eyelids (86.4%) with 3mm levator function were satisfactory and 61 eyelids (95. 1%) with 0-2mm levator function revealed satisfactory result. Postoperative complications included entropion (4 cases) , undercorection (2 cases) , corneal opacity (I case) and corneal ulcer (1 case). Based on this study, external levator resection could were one of the ideal techniques for severe ptosis with poor to absent. levator function.
Blepharoptosis* ; Corneal Opacity ; Corneal Ulcer ; Entropion ; Eyelids ; Follow-Up Studies ; Humans ; Keratitis ; Ophthalmology ; Postoperative Complications ; Poverty Areas

The purpose of this study was to findout the characteristics of helminthic infection, especially. those of Ascaris lumbricoides infection in the slum, population residing in suburban Seoul. This study was conducted on 301 slum residents in Machun-Dong, Kangnam-Ku, Seoul on August, 1977. The results of this study could be summarized, as follows: 1) The prevalence rate of Ascaris lumbricoides among 194 subjected residents was 59.8 percent. The highest prevalence was observed in the age group of 0~9 years (prevalence rate: 65 per cent). 2) The average. E.P.G. of A. lumbricoides were found to be 3,100 in 111 infected cases and this fingure was also the highest in the age group, 0~9 years. 3) After chemotherapy with pyrantal pamoate in dose of 10mg/kg disregarding the results of stool examination, satisfactory follow-up stool collection for worm detection could be performed in I54 cases, among 301 subjected cases. Out of the 154 cases, 97 (63per cent) passed out Ascaris worm(s) and the average worm burden was 4.7 per infected cases. The analysis of collected data revealed that the prevalence rate was higher in female, although, the worm burden per infected case was higher in male residents. The children aged 0-9 years harbored the worms as much as adults. 4) By observing the collected worms an4 discriminating the reinfected young Ascaris aged less than 2-months, it was found that the reinfection occurred in 14 per cent of residents in a month and average amount of reinfection was 0.205 per month per person. These two reinfection, indices were also the highest in children. From the above results, it was concluded that the reinfection of Ascaris lumbricoides was . actively occurred in the residents of the slum area and the children in this area were the most seriously affected by the infection.
Adult ; Ascaris lumbricoides* ; Ascaris* ; Child ; Drug Therapy ; Female ; Follow-Up Studies ; Helminths ; Humans ; Male ; Poverty Areas* ; Prevalence ; Seoul*

Adult ; Aged ; China ; Health Knowledge, Attitudes, Practice ; Humans ; Immunization Programs ; manpower ; Medical Staff ; Middle Aged ; Poverty Areas ; Young Adult

Objective: To investigate the association between milk intake at breakfast and nutritional status of students attending the Nutrition Improvement Program for Rural Compulsory Education Students (NIPRCES) in 2016, and to provide basic data for improving the nutritional status of the poor rural pupils. Methods: Using the multi-stage stratified random cluster sampling method, 22 315 students from grade three to nine from primary and junior high schools were randomly selected from the 50 key counties under the monitor programs, in 22 provinces of NNIPRCS. Questionnaire was used. Among all the students, with equal number of genders, morning fasting height and weight were measured by trained investigators. Status of nutrition was classified as malnutrition, normal, overweight/obesity, by age-specific height and BMI. Multivariate linear and logistic regression methods were used to analyze the relationship between milk consumption and the status of nutrition of the students. Results: Only 31.4% of the students that were on the monitoring programs would drink milk at breakfast. Proportions of milk intake at breakfast were higher in students from the western regions, in lower grades and in girls (P<0.05). The proportions of malnutrition and overweight/obesity were 11.0% and 10.0% respectively. After controlling factors as gender, age, ethnicity, region of residency and types of parental employment, students who drank milk at breakfast showed an average height of 0.4 cm taller than those who did not drink milk (P=0.001). However, no significant relationships were noticed between milk intake at breakfast and weight, malnutrition or overweight/obesity. Conclusion: Milk intake at breakfast seemed associated with the height of the students under study, suggesting that this program can be promoted, especially in students from the poor rural areas.
Animals ; Breakfast ; Feeding Behavior ; Female ; Humans ; Male ; Milk ; Nutritional Status ; Overweight ; Poverty Areas ; Rural Population ; Schools ; Students

BACKGROUNDS: Today, tuberculosis cannot only be cured medically, but also controlled by public health. Despite the overall worldwide decline in tuberculosis, the disease continues to be a significant problem among developing countries and in the slums of large cities in some industrialized countries. Particularly, this communicable disease has come into the public health spotlight because of its resurgence in the 1990's Our country has been operating the Korean National Tuberculosis Control Program since 1962, focusing around public health centers. Therefore, this study aims to compare the effectiveness of tuberculosis control activities, one of the major public health activities in Korea, by producing indexes, such as the yearly registration rate per 100,000 population and treatment compliance of tuberculosis on in small areas (communities). METHODS: This work was accomplished by constructing a time-series analytic model using data from "1980~2000 : the Yearly Statistical Report" with patient registry data of 234 City. County. District public health centers and by identifying the factors influencing the tuberculosis indexes. RESULTS: The trends of pulmonary tuberculosis positive point prevalence and pulmonary tuberculosis negative point prevalence on X-ray screening have declined steadily, beginning in 1981 and continuing to 1998 by region (city. county. district). Although the tuberculosis mortality rate steadily shows a declining trend by year and region, but Korea still ranks first among 29 OECD countries in 1998, with a tuberculosis mortality rate of 7.1 per 100,000 persons, according to the time-series analysis for fatal diseases. CONCLUSION: The results of the study will form the fundamental basis of future health care planning and the Korean Tuberculosis Surveillance System on 2000. Since the implementation of local autonomy through the Local Health Act of 1995. it has now become vital for each city. county. district public health centers to determine its own priorities for relevant health care management, including budget allocation and program goals.
Budgets ; Communicable Diseases ; Compliance ; Delivery of Health Care ; Developed Countries ; Developing Countries ; Humans ; Korea* ; Mass Screening ; Mortality ; Poverty Areas ; Prevalence ; Public Health ; Tuberculosis* ; Tuberculosis, Pulmonary