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Malaria remains a substantial global health challenge, causing preventable illnesses and fatalities. In Nepal, the government has ambitiously targeted achieving malaria-free status by 2025. This study aims to assess the impact of women’s roles on health-seeking behavior during suspected malaria fever in the high-risk area of Kanchanpur district, Nepal. This is a cross-sectional analytical design with a mixed-method approach, the research focused on Kanchanpur district, selected from 20 high-risk malaria districts of Nepal. Belauri Municipality within Kanchanpur, identified for its concentration of high and moderate-risk wards, was the specific study area. A random selection process identified 387 households for a comprehensive survey. Face-to-face interviews with household heads were conducted after obtaining written informed consent and ethical approval from the Nepal Health Research Council (March 3, 2023/Ref no.-2041). Data analysis, employing statistical measures such as percentages, frequency, mean, and the Chi-square test, was performed using SPSS version 20. Cultural beliefs regarding women’s use of bed nets during menstruation significantly predicted health-seeking behavior (p-value < 0.05). Those endorsing bed net use during menstruation were nearly twice as likely to choose modern health facilities (COR = 1.975, 95% C.I. = 1.134 to 3.439, p = 0.016). Women’s involvement in malaria treatment decisions strongly correlated with health-seeking behavior (p-value = 0.001). However, women participating in household decisions for suspected malaria treatment were less likely to choose modern health facilities (COR = 0.327, 95% CI = 0.171–0.627, p = 0.001) compared to those without such a role. The study underscores the complex influence of cultural beliefs and women’s decision-making roles on health-seeking behavior. Recognizing and comprehending these factors are vital for crafting effective malaria interventions that align with cultural contexts and consider the nuanced roles of women in health-related decisions.
Childhood overweight and obesity due to unhealthy diet result in several adverse effects. Mothers play a major role in selecting snacks for younger children. This study assessed the factors associated with the choice of packaged food/beverage snacks among mothers of 6- to 10-year-old children in the Medical Officer of Health area Balangoda. A community-based descriptive cross-sectional study with an analytical component was conducted in 2022 among 450 mothers with 6- to 10-year-old children through two-stage, stratified (year of birth considered as a stratum), simple random sampling technique in ten randomly selected Public Health Midwife areas in the medical officer of health area Balangoda. An interviewer-administered questionnaire was used to assess participants’ sociodemographic, usual practices, attitudes, and knowledge toward packaged snacks. Factors associated with maternal practices related to packaged snack selection were assessed through the chi-square test at the p<0.05 significance level. The response rate was 99.3% (N = 447). Children were commonly provided with biscuits (94.4%) and flavoured milk (44.7%) daily (66.4%) at home (93.5%). The majority of mothers reported poor practices in selecting packaged snacks (88.8%), but good knowledge (62.9%) and favorable attitudes (93.5%) toward packaged snacks. The majority (75.5%) were aware that snacks are important for overcoming the hunger gap among children. Childs’ preference (77.6%) was the leading influencing factor while, the nutritional value of the packaged snacks minimally influenced the maternal (2.7%) choice. Only 49.9% mothers knew that packaged fruits could be consumed as snacks. Maternal Sinhalese ethnicity (p<0.001), secondary or higher education (p<0.001), having one child (p = 0.003), residing in a rural or urban area (p = 0.011) and having favourable attitudes (p = 0.002) were significantly associated with poor maternal practices in packaged snack selection. Although mothers’ knowledge toward packaged snacks were good, their practices in selecting packaged snacks were poor. Maternal ethnicity, educational level, number of children, area of residence and attitudes were significantly associated with mothers’ selection of packaged snacks. The results of the study highlighted the need to plan, develop and implement focused health promotion programmes to empower mothers to select healthier packaged snack options for their 6- to 10-year-old children.
Burn injury is a major contributor to morbidity and mortality in developing countries. In Ethiopia, the outcome of burn injuries and associated factors among burn patients were not clearly described. To assess the outcome of burn injuries and its associated factors among burn patients attending public hospitals in the North, showa Zone, Ethiopia. An institution-based cross-sectional study was conducted among 420 burn patients in public hospitals of the North showa, zone. Systematic random sampling was used to select study participants. Structured checklists were used to extract data from burn patients’ medical records. Data was entered using Epi-Data version 4.6. Data was analyzed using SPSS version 25. A p- value of ≤ 0.05 in the multivariable logistic regression was used to declare a significant association. In this study, the prevalence of discharges with complications was 40.9% (95% CI: 36.5–45.6). The odds of developing complications among patients having pre-hospital intervention were nearly four times the odds of not having the intervention (AOR = 3.8, 95% CI, 1.11–13.25). The odds of developing complications among patients having scalds were four times the odds of not having scalds (AOR = 4.3, 95% CI, 1.52–12.32). A patient who received fluid and electrolytes was 76% less likely to develop the outcome of burn injury discharged with burn complications. Patients with TBSA less than 20% were 66% less likely to be discharged with complications compared to patients with TBSA greater than 20%.: This study demonstrates a significantly higher level of outcome for patients with burn injuries who were discharged with complications, leading to death and other bad outcomes. Therefore, stakeholder would more emphasis in health education on prevention of burn injuries, first aid treatment of burn, treatment of the cause of burns, and providing fluid and electrolytes.
Gender-based violence (GBV) is a major global public health challenge in the 21st century that poses a serious impact on women’s health and well-being. Therefore, this study aimed to assess the prevalence and factors associated with GBV among secondary school female students in the Sarlahi district of Nepal. Using a cross-sectional study, we collected data from 225 secondary-level female students in the Sarlahi district of Nepal. Data was collected by using a semi-structured, self-administered questionnaire. Probability proportionate and simple random sampling techniques were used for sampling. The association was explored by using a chi-square test and binary logistic regression. The two-tailed significance level for all analyses was set at p<0.05. The overall prevalence of GBV among the students during their lifetime was 45.33 of which physical violence was 16.89%, sexual violence was 30.22% and psychological violence was 39.56%. The prevalence of experiencing physical violence from family members was 97.36%, followed by emotional violence (41.57%). Further, the prevalence of sexual violence from non-family members was 91.17%. Type of family had a significant association with lifetime experience of GBV (p = 0.003). Gender based discrimination in the family had a significant association with lifetime (p = 0.001) as well as last 12 months (p = 0.001) GBV experience. Experience of witnessing physical violence as a child within the last 12 months was associated with GBV (p = 0.03). Different forms of GBV such as physical, sexual, and emotional acts of violence among female students were highly prevalent. However, their knowledge and awareness of confronting this issue were limited. This warrants the urgent need to establish preventive and responsive control measures within schools and communities to address GBV effectively.
Limited data among miners in Tanzania suggests prevalence of silicosis, obstructive lung disease and restrictive lung disease to be around 1.6%, 1.9% and 8.8% respectively. Our study aimed to determine the prevalence and factors associated with silicosis and impaired lung function among tanzanite mining community in northern Tanzania. We conducted a cross-sectional study, involving 330 miners and 330 peri-mining community members in Mererani mines. Silicosis was defined based on study participants’ history of exposure to mining dust and digital chest radiological findings with reference to the 2011 ILO classification of pneumoconiosis. Impaired lung function was determined by spirometry using American Thoracic Society/European Respiratory Society recommended system 3. Association between evidence of silicosis/impaired lung function and presumed risk factors were determined using binary logistic regression analyses. The study found that 99/330 (30.0%) of miners had silicosis. Total of 65 (9.8%) participants had impaired lung function, of whom 29 (4.4%) had Chronic Obstructive Pulmonary Disease, 32 (4.8%) had restrictive lung disease and 4 (0.6%) had both obstructive and restrictive lung diseases. Unexpectedly, miners who have worked for more than 10years and those worked for 6 to 10 years had 64% (aOR 0.34, CI = 0.17–0.67, p = 0.002) and 48% (aOR 0.52, CI = 0.30–0.89, p = 0.018) lower odds of having silicosis respectively compared those worked for up to 5 years. Participants with more than 10 years of work duration had more than 3-times higher odds of impaired lung function compared to those who had worked for up to 5 years (aOR 3.11, CI = 1.53–6.34, p<0.002). We found a concerningly high prevalence of silicosis despite short durations of exposure to occupational silica dust. Immediate dust control measures including deployment of wet drilling, wearing of personal protective equipment and regular monitoring of dust exposure need to be enforced by the Occupational Safety and Health Authority–Tanzania.
Data Owner:
ACER (Australian Council for Educational Research)
The Australian Government and the state and territory governments provided the funding for the Australian component of PISA 2015. All of Australia’s share of the international overheads and half of the basic funding for PISA within Australia was contributed by the Australian Government Department of Education and Training, while each state and territory government education department provided funding in proportion to the numbers of 15-year-old students enrolled in their schools. In Australia, PISA is guided by the International Assessments Joint National Advisory Committee (IAJNAC). ACER wishes to thank the IAJNAC members for their interest and commitment throughout every phase of the project. Their involvement included reviewing the frameworks and assessment items, assisting with the implementation of PISA in schools from their state or territory, and providing valuable information to ensure the success of PISA 2015 in Australia. The undertaking of PISA 2015 was a collaborative effort. A national assessment such as PISA could not be successful without the cooperation of school systems, principals, teachers, students and parents. A high participation rate of the randomly selected schools and students is essential for obtaining high-quality data. It is thanks to this level of cooperation that Australia was able to fully satisfy the internationally set response criteria for PISA 2015. ACER gratefully acknowledges the assistance of education system officials Australia-wide, and the principals, teachers and students in the participating schools who so generously gave their time and support to the project.
Data Owner:
ACER (Australian Council for Educational Research)
The Programme for International Student Assessment (PISA) is an international comparative study of student performance directed by the Organisation for Economic Co-operation and Development (OECD). PISA measures the cumulative outcomes of education by assessing how well 15-year-olds, who are nearing the end of their compulsory schooling in most participating educational systems, are prepared to use the knowledge and skills in particular areas to meet real-life opportunities and challenges. The term literacy is attached to the assessment domains of reading, mathematics and science to reflect the focus on these broader skills and as a concept it is used in a much broader sense than simply being able to read and write. The OECD considers that mathematics and science are so pervasive in modern life that it is important for students to be literate in these areas as well. This report presents the results for Australia as a whole, for the Australian states and territories and for the other participants in PISA 2018, so that Australia’s results can be viewed in an international context, and student performance can be monitored over time.