Browsing by Author "Pradhan, A"
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Publication Acquaintance with the actuality: Community diagnosis programme of Kathmandu Medical College at Gundu village, Bhaktapur, Nepal(Kathmandu University, 2008) Vaidya, A; Pradhan, A; Joshi, SK; Gopalakrishnan, S; Dudani, IAbstract Introduction: In Nepal, various field programs such as community diagnosis programmes (CDP) have been initiated to make the education of doctors, nurses and dentists more community oriented and relevant and suited to the health care scenario. Community diagnosis refers to the identification and quantification of the health problems in a community and identification of their correlates for the purpose of defining those individuals or groups at risk or those in need of health care. The article presents the main activities of community diagnosis as a core component of community-based education for the medical students at Kathmandu Medical College, Kathmandu, Nepal. Methodology: A 4 weeks’ Community Diagnosis Programme was conducted by MBBS II students (9 th Batch) of the Kathmandu Medical College under the supervision of the Department of Community Medicine in November 2006 in the rural community of Gundu VDC (village development committee). The tools used included pre-tested questionnaires, weighing machines, measuring tapes, stethoscopes and sphygmomanometers. After the data collection and compilation, the students presented their findings in oral presentations, accompanied by a written report, including essential recommendations for improving the health status of these communities. Results: The students benefited from the necessary process of integrating clinical skills and a public health approach, so as to enhance their epidemiological thinking and be of greater use to the communities where they will practice. The community also benefited by achievement of behavioral changes leading to healthier lifestyles and increased awareness of health-related matters and their role in quality of life. Conclusions: CDP is a way to practically demonstrate that the link between a medical college and society is possible. That is, a medical college can serve the community and thus society, with specific activities to improve health and the skills of students who will serve as future health professionals.Publication Backache prevalence among groups with long and normal working day(Kathmandu University, 2004) Pradhan, AObjectives: to describe the prevalence of backache among groups with long and normal working day. Design: A cross sectional study of prevalence of backache among groups with long and normal working day. Materials and Method: Among the 19 wards of Kirtipur municipality, ward no. 11 was selected as a random cluster. 64 households of different socioeconomic status were selected at random. Total of 64 individuals from these households were selected in the study. Conclusion: The backache was found to be 62.5% prevalent. 75.8% of individuals in long working day category were found to be suffering from backache whereas 48.4% in normal working day group were suffering from it. Key words: backache, working dayPublication Publication Faculty opinion survey following attendance to teacher training workshops in Kathmandu Medical College(Kathmandu University, 2004) Joshi, S; Pradhan, A; Dixit, HIntroduction: With the growing awareness of the importance of teaching and learning in Universities, the need to improve professional qualities in teachers has been identified. Aim and Objectives: This paper describes the outcome of the impact of teacher training workshops on faculty- teaching performance. Methodology: A total of 30 faculties who had undergone teacher training in the one-year period were included in the study. Survey questionnaire were distributed and all the forms were returned. Results: All (100%) respondents found the teacher training to be very useful/useful for improvement of teaching skills. A total of 76.66% said that the skills learnt in the workshop were very applicable, 80% perceived changes in students’ classroom behaviour and found their lecture to be more participatory and interactive. As for their own change in behaviour, 66.66% respondents experienced better interaction with the students in classroom. Discussion: The overall impression of the training was very positive. Future studies should include student feed back and classroom teaching observation for faculty teaching evaluation. We also need to utilise the feed back information obtained in this article, to further improve the strength of the future teacher training workshops. The future workshops should include sessions in problem-based learning and follow up refresher courses. Key Words: Teacher- training, Survey, KMCPublication Health profile of school children in Bhaktapur(Kathmandu University, 2005) Pandey, S; Dudani, I; Pradhan, AObjectives: To find out the existing common health problems among school children and to arouse health consciousness among the children. Material and methods: All the students studying in Mandev Amrit Smriti School, Jhaukhel VDC of Bhaktapur District were included in the sample. The methods used were the interview, clinical history and check-up for provisional diagnosis. A semi-structured questionnaire was used to record information regarding name, age, sex, standard in which s/he was studying, physical examination/ personal hygiene, anthropometric measurements, clinical findings, provisional diagnosis etc. The medical instruments used in the survey were: weighing machine, measuring tape, and thermometer. Common medicines like Jeevanjal packets, Albendazole tablets for deworming, Metron, amoxicyllin, paracetamol, Tagyl etc were also distributed to the needy students. Results and Conclusion: The physical examination of all 118 students in age group ranging from 3 to 13 years of Mandev Amrit Smriti School situated at Jhaukhel VDc of Bhaktapur district was carried out. Thirteen health related problems were detected in this study. The most important three problems were ear problems (22.03%), worm infestation (16.10%) and dental caries (13.56%). Thus school health education should mainly aim at these problems and the care and cleanliness of ears and teeth by proper and regular brushing should be stressed. Applying Water low classification, 33% males were found normal as per their weight for age. 61.9% males were stunted and 4.8 % males were wasted. Likewise, 54.6% females were found normal as per their weight for age. 43.6% females were stunted and 1.8 % females were wasted. Key Word: School health, Health problemsPublication HIV/AIDS and STI related knowledge, attitude and practice among high school students in Kathmandu valley(Kathmandu University, 2005) Jaiswal, S; Magar, BS; Thakali, K; Pradhan, A; Gurubacharya, DLObjective: To assess the knowledge, attitude and practice of high school students regarding HIV/ AIDS and STI and to determine if a school education programme would bring about statistically significant positive change in the knowledge, attitude and practice regarding HIV/AIDS and STI. Methods: The study was conducted among 1012 students of various schools in Kathmandu Valley (Kathmandu, Bhaktapur and Lalitpur). The tool for assessment was confidentially administered closed questionnaire both before and after the education programme of 45 minutes single class, standardized education package. Results: Knowledge on some aspect of the disease was quite low in the study group. 45.8% had prior knowledge of HIV, 65.2% knew that HIV/AIDS could be transmitted by sharing same needle, 46.2% knew that vaccine is not yet available for HIV/AIDS. Knowledge about STI was also quite low, 41.5% knew that pus in the urine is a symptom of STI and 41.7% knew that STI is curable. 4.2% of the study group had previous sexual intercourse, 64.2% had sexual intercourse with friend and 35.17% had sexual intercourse with commercial sex workers. 1.8% would commit suicide if they contracted HIV/AIDS. According to sex wise distribution of the sample, female’s knowledge about HIV was low 43.2% as compared to male 48%, male’s knowledge about transmission of HIV/AIDS from pregnant mother to child was low; 89.7% as compared to female’s knowledge 94.2%. Female’s knowledge about commercial sex worker as high risk group was low (87.8%) as compared to male’s knowledge 90.6%. Key words: HIV, AIDS, STI, high school children.Publication Situation of antenatal care and delivery practices(Kathmandu University, 2005) Pradhan, AObjectives: The study aims to assess the situation of antenatal care usage and delivery practices in the study area. (i) To study the coverage rate for ANC and hospital delivery in different age group, parity, educational status and economic status. (ii)To study the relation of ANC visit and hospital delivery. Materials and method: The study design is descriptive cross sectional study. The study was carried out in ward no. 9 of Mahankal VDC, Kathmandu. 50 women of reproductive age group who had delivered live birth five years preceding the survey were selected. A semi- structured questionnaire was administered through informal interview. For the women with more than one child, the information was gathered for the last birth. The data were analyzed through the SPSS software. Results: Antenatal visit was a success story. Seventy eight percent of women were using the services. More notable fact was that the 62% of the respondents made antenatal visits for four or more than four times. Seventy two percent of the respondents y received the tetanus toxoid shots. Sixty six percent of the deliveries were hospital deliveries assisted by the doctors. However, 34% of deliveries occurred at home. The difference in ANC visit in different age groups and parity was not much obvious. The educational effect was clear as nearly double women who attained SLC or above, made four or more ANC visit as compared to illiterates. ANC seen as pathway to the institutional deliveries, once again proved its potential. Around 90% of women who made four or more ANC visits delivered in hospital as compared to 18.18% of women who never made any ANC visit. Conclusion: The rate of antenatal care use and hospital deliveries in the study area is found good in percentage. The rapid urbanization is taking place in nearby VDCs of Kathmandu. The hospitals in the Kathmandu are accessible to these VDCs. This could be the reason behind increased antenatal care usage and hospital delivery in the study area. Key words: antenatal care, deliveryPublication