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古吉拉特邦瓦多达拉市ASHA工作人员发病模式解码——一项横断面研究

Decoding morbidity patterns in ASHA workers of Vadodara, Gujarat - A cross-sectional study.

作者信息

Chauhan Grishma, Pankaj Neelabh, Dhakate Bhavna, Gadhavi Kinjal, Pandit Niraj

机构信息

Department of Community Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Piparia, Vadodara, Gujarat, India.

出版信息

J Family Med Prim Care. 2024 Dec;13(12):5484-5490. doi: 10.4103/jfmpc.jfmpc_119_24. Epub 2024 Dec 9.

Abstract

INTRODUCTION

Accredited Social Health Activists (ASHA) play a pivotal role as village-level functionaries under the National Health Mission, driving community transformation, facilitating health planning, and ensuring access to healthcare services.

OBJECTIVES

To assess the physical health status of ASHA workers and to investigate the prevalence of morbidities among ASHA workers.

MATERIAL AND METHODS

This is a cross-sectional study, conducted in Vadodara's east zone, and involves 123 ASHA workers. A questionnaire focusing on health profiles, encompassing age, weight, height, body mass index, and blood pressure, as well as histories of acute and chronic illnesses, was employed for data collection. Descriptive statistics were employed to summarize demographic and professional characteristics, and inferential statistics, such as Chi-square tests, were applied to assess associations and factors influencing the morbidity profile of the ASHA workers.

RESULTS

The participant's mean age was 38.9 ± 6.85 years. The majority, 74 (60.2%), of them reported no morbidity, whereas 40 (32.52%) had a chronic illness and 9 (7.32%) had acute morbidity at the time of visit. Among the chronic morbidity, 50% of ASHA had poly morbidity. Anemia was found among most ASHAs, 32 (26.02%), followed by diabetes, 19 (15.45%), and hypertension, musculoskeletal problems, thyroid disorders, and obesity were the other major diseases found among the ASHAs in 14.63%, 13.82%, 13.01%, and 11.38%, respectively. Skin problems like fungal infection and rashes were found among 5.69%. Based on body mass index, 27 (21.95%) were found overweight and 14 (11.38%) were obese.

CONCLUSION

The study revealed a 32% chronic morbidity prevalence among ASHA workers who are taking care of citizens' health. It is high time to take care of our health team. First, they should be healthy as they are the role models of the community.

摘要

引言

经认可的社会健康活动家(ASHA)作为国家卫生使命下的村级工作人员发挥着关键作用,推动社区变革,促进健康规划,并确保获得医疗保健服务。

目的

评估ASHA工作人员的身体健康状况,并调查ASHA工作人员中的发病率。

材料与方法

这是一项在瓦多达拉东区进行的横断面研究,涉及123名ASHA工作人员。采用一份关注健康状况的问卷,包括年龄、体重、身高、体重指数和血压,以及急慢性疾病史,用于数据收集。描述性统计用于总结人口统计学和专业特征,推断性统计,如卡方检验,用于评估影响ASHA工作人员发病情况的关联和因素。

结果

参与者的平均年龄为38.9±6.85岁。其中大多数,74人(60.2%)报告无发病情况,而40人(32.52%)患有慢性病,9人(7.32%)在就诊时有急性发病情况。在慢性病中,50%的ASHA患有多种疾病。大多数ASHA中发现贫血,32人(26.02%),其次是糖尿病,19人(15.45%),高血压、肌肉骨骼问题、甲状腺疾病和肥胖是在ASHA中发现比例分别为14.63%、13.82%、13.01%和11.38%的其他主要疾病。发现5.69%的人有真菌感染和皮疹等皮肤问题。根据体重指数,发现27人(21.95%)超重,14人(11.38%)肥胖。

结论

该研究揭示,在照顾公民健康的ASHA工作人员中,慢性病发病率为32%。是时候关注我们的健康团队了。首先,他们应该健康,因为他们是社区的榜样。

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