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D e c e m b e r 1 2 - 1 3 , 2 0 1 8 | A b u D h a b i , U A E
Journal of RNA and Genomics
|
Volume 14
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
Epidemiology Congress 2018 & Tropical Medicine Congress 2018
Archives of General Internal Medicine
|
ISSN: 2591-7951
|
Volume 2
&
TROPICAL MEDICINE, INFECTIOUS DISEASES & PUBLIC HEALTH
International Conference on
EPIDEMIOLOGY AND PUBLIC HEALTH
World Congress on
Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C7-021
ENVIRONMENTAL AND FAMILIAL
FACTORS IN DRUG USE AMONG
COMMERCIAL DRIVERS IN
SUBURBAN PUBLIC TRANSPORT
Elaheh Ainy
and
Hamid soori
Shahid Beheshti University of Medical Sciences, Iran
E
nvironmental and family factors play an important role in
the use of drugs among drivers of public transport. A study
was conducted in 2013 on the lack of accurate statistics on
the environmental and family factors behind the use of drugs
by drivers. Overall, 1176 drivers of buses, mini-buses, vans, all
kinds of trucks, and cars were randomly selected proportion-
ately according to the type of vehicles. The capture-recapture
sampling method was used to determine the prevalence rate
of drug use among commercial drivers. Trained experts col-
lected data regarding the environmental and family factors
behind the use of addictive drugs. Urine samples of the par-
ticipating drivers were taken at police checkpoints. Urinalysis
was performed by the Rapid Test method (ACON, San Diego,
USA). The mean age of the subjects was 39.9 ± 9.7 years. The
results of the experiment were positive in 14.1% of the driv-
ers. A significant difference observed between addicted and
non-addicted drivers related to cold and heat (P <0.001) and
lack of facilities (P = 0.006) as the most influencing factors.
The most important environmental factor was family poverty
(P <0.001), followed by marital status and its problems (P =
0.002), a large number of children (P = 0.006), and family dis-
putes (P = 0.012). A family history of addiction was 2.5 times
more among addicted drivers. Prevalence of addiction was
14.1%. Among the environmental factors, cold and heat, lack
of facilities, family factors, and a family history of addiction
greatly influenced addiction.
ROLE OF LHWS IN PROVISION
OF NUTRITIONAL SERVICES IN
CHILDREN UNDER 5 IN PERI URBAN
AREAS OF KARACHI
Nazia Aamir
Aga Khan University, Pakistan
G
lobally, one of the major risk factors for child morbidity and
mortality is considered to be malnutrition. Malnutrition is
attributable for nearly half of all deaths in children under 5
years of age and every year there is a loss of about 3 million
lives unnecessary. However, studies have shown that Lady
Health Worker (LHW) plays an important role and can deliver
nutrition services to underserved populations, despite the fact
that working in a weak health system is a challenge for LHW to
provide services. The exploratory qualitative research design
was used for the research. Our target populations were moth-
ers, LHWs and the nutritional expert, behavior change commu-
nication expert (BCC), LHW program experts, field officer, and
lady health supervisor. The data collection methods that were
used for the study were focus group discussion (FGDs) and
key informant interviews (KIIs). The analysis of this study re-
veals that LHWs are not skill-trained to address the nutritional
component according to their mandates. The main associated
factors from the health care provider perspective were found
to be lack of intersectoral approach that is the integration of
the LHW program with the other vertical program, low morale
of LHWs, knowledge gap among the LHWs, lack of aware-
ness among the community, beliefs of the community and
excessive workload. From mothers perspective; inappropriate
communication, unavailability of logistics are the factors that
affect the performance of LHWs. It was concluded that train-
ing of the LHWs on the nutritional services is an issue. Thus,
LHWs are unable to provide their services to the community.
In this regards implementation and coordination among the
stakeholders, continuous education and awareness for the
community and LHWs, overcoming the logistic issue are the
key solutions for improving the role of LHWs and quality of
nutrition services.