Integrated Health Unit of a Community Health Department Creating Awareness on Nutrition, Hypertension, Diabetes and Mental Health in a Slum and Resettlement Colony in Delhi

Authors

  • Joyce Felicia Vaghela Community Health Department, St. Stephen’s Hospital, Tis Hazari, Delhi, India http://orcid.org/0000-0001-7839-7501
  • Molly Roy Community Health Department, St. Stephen’s Hospital, Tis Hazari, Delhi, India.
  • Kriti Vaish Community Health Department, St. Stephen’s Hospital, Tis Hazari, Delhi, India.
  • Ravi Mishra Community Health Department, St. Stephen’s Hospital, Tis Hazari, Delhi, India.
  • Abha Mangal Community Health Department, St. Stephen's Hospital, Tis Hazari, Delhi -110054

Keywords:

Community Health Department, St. Stephen’s Hospital, Tis Hazari, Delhi, India.

Abstract

Background: A slum and Resettlement Colony in a Metro is always vulnerable to diseases, social evils, political instigations and riots etc. The Community Health Department of a Tertiary Care Hospital which is situated in one such area has an Integrated Health Unit with 6 Auxiliary Nurse Midwives (ANMs). The aim of this study is to find out whether there is an increase in the knowledge of area population regarding Nutrition, Hypertension, Diabetes, and Mental Health when Health education was imparted using Health Modules. Methodology: A little more than 5% sample of total area people was selected using purposive sampling technique after meeting the inclusion and exclusion criteria. A pre-test was conducted by ANMs, using a structured questionnaire in Hindi language after obtaining verbal consent. Health education was imparted using Health Modules on these four subjects. One and a half months later post-test was conducted using the same structured questionnaire. Result: Total scores were added for each person for each topic. There were 333 (10.96%) males and 2705 (89.04%) females, making a total of 3038. The mean pre-test scores for Nutrition, Hypertension, Diabetes and Mental Health for respondents were 4.4±1.12, 5.89±1.47, 4.25±1.88 and 8.02±0.99 respectively. The mean post-test scores showed highly statistically significant improvement 1 and ½ months after the Health Education for Nutrition, Hypertension, Diabetes respectively (5.52±1.04; p<0.0001, t=-3.9077), (7.15±1.35; p<0.0001,t=1.256), and (6.26±1.66 p<0.0001). But the mean post-test score for Mental Health (8.05±0.87;p=0.2097,t=0.03809) was not statistically significant. Conclusion: The results of the study demonstrated that the health education through health modules is an effective way of improving the health-knowledge of slum people.

How to cite this article:

Vaghela JF, Roy M, Vaish K, Mishra R, Mangal A. Integrated Health Unit of a Community Health Department Creating Awareness on Nutrition, Hypertension, Diabetes and Mental Health in a Slum and Resettlement Colony in Delhi. Int J HealthCare Edu & Med Inform 2019; 6(2): 23-32.

DOI: https://doi.org/10.24321/2455.9199.201909

References

Baker JL. Urban poverty: a global view (English). Urban Papers; no. UP-5. Washington, DC: World Bank 2008. Available from: http://documents.worldbank.org/ curated/en/954511468315832363/Urban-poverty-aglobal-view accessed on 18.4.2020. 2. Ravallion M. Urban poverty. Finance and Development. 2007; 44(3). Available from: http://www.imf.org/ external/pubs/ft/fandd/2007/09/ravalli.htm - accessed on 20.4.2020. 3. Mathur OP. ‘Urban Poverty in Asia’. Study Prepared for the Asian Development Bank. 2013. Available from: https://www.adb.org/sites/default/files/projectdocument/81002/urban-poverty-asia.pdf accessed on 18.4.2020. 4. Unger A, Riley LW. Slum health: from understanding to action. PLoS Medicine. 2007;4:1561–6. [PMC free article] [PubMed] [Google Scholar] Available from: journals.plos.org › plosmedicine › article › journal. pmed.0040295. Accessed on 26.4.2020. 5. Rice J, Rice JS. The concentration of disadvantage and the rise of an urban penalty: urban slum prevalence and the social production of health inequalities in the developing countries. International Journal of Health Services 2009; 39: 749-770. Available from: journals. sagepub.com [PubMed] [Google Scholar] Accessed on 25.4.2020. 6. “India census says 1 in 6 lives in unsanitary slums.” The Associated Press. Posted: Mar 22, 2013 11:11 AM ET. Available from: https://www.cbc.ca/news/world/indiacensus-says-1-in-6-lives-in-unsanitary-slums-1.1403897, accessed on 20.4.2020. 7. National Press Information Bureau, Government of India. National Sample Survey Organization (NSSO) report “Some Characteristics of Urban Slum 2008-2009” Ministry of Housing and Urban Poverty Alleviation. 2011. Available from: https://pib.gov.in/newsite/PrintRelease. aspx?relid=72280. accessed on 24.4.2020. 8. Banerjee A, Pande R, Walton M. Working Paper International Growth Centre (IGC). ‘Delhi’s Slum Dwellers Deprivation, Preferences and Political Engagement among the Urban Poor’, 2012. Available at https://www. theigc.org/wp-content/uploads/2014/10/Banerjee-EtAl-2012-Working-Paper-1.pdf Accessed on 30.4.2020. 9. Gruebner O, Khan MMH, Lautenbach S, Müller D, Krämer A, Lakes T. Mental health in the slums of Dhaka - a geo-epidemiological study. BMC Public Health 2012;

: Article number: 177. Available from: https://www. ncbi.nlm.nih.gov/pmc/articles/PMC3361672/ Accessed on 30.4.2020 10. MIS 2020. Community Health Department, St. Stephen’s Hospital. 11. Pal R, Pal S, Barua A, Ghosh MK. Health education intervention on diabetes in Sikkim - NCBI. Indian J Endocrinol Metab 2010; 14(1): 3-7. Available from: www. ncbi.nlm.nih.gove > pmc > articles> PMC3063532 accessed on 12.5.2020. 12. Gupta S, Mangal A, Gupta V, Vaghela JF, Kumar A. Integrating Mental Health Interventions with Primary Care: An Experience from an Urban Slum of Delhi, India. Int J Preven Curat Comm Medicine 2018; 4(1): 19-26. Available from: https://medical.adrpublications.in/ index.php/Preventive-Curative-CommunityMed/article/ view/1439/pdf accessed on 28.5.2020. 13. International Institute for Population Sciences. National Family Health Survey-1. NFHS-1: India 1992– 93. Mumbai: International Institute for Population Sciences; 1995. p.262.[Google Scholar] Available at https://dhsprogram.com/pubs/pdf/FRIND3/FRIND3Vol1AndVol2.pdf accessed on 17.5.2020. 14. World Health Organization. Declaration of Alma-Ata. 1978 Available from: www.who.int › publications › almaata_declaration_en Accessed on 10.5.2020 15. Hahn RA, Truman BI. Education Improves Public Health and Promotes Health Equity. Int J Health Serv 2015; 45(4): 657-678. Available at : https://pubmed.ncbi.nlm. nih.gov/25995305/ Accessed on 13.5.2020. 16. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. Available from: https://dhsprogram.com/pubs/ pdf/FRIND3/FRIND3-Vol1AndVol2.pdf accessed on 17.5.2020. 17. Prameelamma P. “Serve Train Educate People’s Society” – STEPS - Making More Health: Achieving Individual, Family and Community Well-Being. Integrated project for Clinical services, Health Awareness and Community development of slum people in India. Available at https://www.changemakers.com/morehealth/entries/ integrated-project-clinical-services-health-awareness-a 25.5.2020 FAQs. 18. Zaman TU, Dutta SK. Struggle of Slum Dwellers for Maintaining their Health Status and Behavior in a Slum Pocket of Guwahati City. International Journal of Medical Research & Health Sciences 2018: 7(7): 63-71. ISSN No: 2319-5886 Available from:https://www.ijmrhs. com/medical-research/struggle-of-slum-dwellersfor-maintaining-their-health-status-and-behaviorin-a-slum-pocket-of-guwahati-city.pdf accessed on 27.5.2020.

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Published

2020-11-19