Community based intervention for prevention and control on non communicable disease risk factors (CIPCON) / baseline report, 2015.

SUMMARY: Non-communicable diseases (NCDs) are a major public health concern with significant social and economic implications in terms of health care-needs, lost productivity and premature death. NCDs are thus a serious setback to our attainment of social, health and economic targets if no proper i...

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Corporate Author: NHRC
Format: Book
Language:English
Published: c2017.
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Summary:SUMMARY: Non-communicable diseases (NCDs) are a major public health concern with significant social and economic implications in terms of health care-needs, lost productivity and premature death. NCDs are thus a serious setback to our attainment of social, health and economic targets if no proper interventions are put in place. Realizing the need of timely interventions on Non-communicable disease, this interventional study had been planned to identify effective methods of preventing and controlling noncommunicable diseases with optimum use of locally available resources and local health care system. This report deals with baseline information of intervention and control districts. This cross-sectional baseline study was conducted on Ilam and Dhankuta districts which represent intervention and control districts respectively. In each district, VDCs were considered as clusters with a total of 1404 samples planned from 12 VDCs. A total of 13 households were selected from each cluster through systematic random sampling, and eligible participants of 15-69 years were selected from each household using a KISH table. The response rate for intervention and control district was 92.8% and 96.4% respectively making total of 1302 participants in intervention and 1361 participants in control district. The WHO STEPS version 3.1 was adopted with addition of knowledge and attitude questionnaire related with NCD in the data collection tool to assess baseline information. In both Ilam and Dhankuta district, majority of participants were female (Ilam-56.8%, Dhankuta-58.6%) and most of participants belonged to 45-69 years (Ilam-44.8%, Dhankuta-46.0%). Similarly, Disadvantage Janjatis represented the major share of research participants in each districts (Ilam-65.2%, Dhankuta-56.1%). About 10% of participants in Ilam and 16% of participants in Dhankuta district were current smokers. Mean age of starting smoking was about 17.8 years for Ilam and 17.6 years for Dhankuta districts. Out of the total research participants, 23% in Ilam and 25% in Dhankuta were current alcohol drinker. Mean minutes of total physical activity on typical day was about 367 minutes (6.1 hours) and 386 minutes (6.4 hours) on Ilam and Dhankuta district respectively. Approximately, 2.8% participants in Ilam and 3.4% participants in Dhankuta were not meeting the recommended physical activity of WHHI standards. Mean number of days fruits consumed in a typical week was about 2.5 days and 3.6 days on Ilam and Dhankuta district respectively. Similarly, mean number of days vegetables consumed per week was about 6.2 days and 3.6 days on Ilam and Dhankuta respectively. Around 89.7% and 89.1% participants from Ilam and Dhankuta districts ate less than 5 servings of fruits and / or vegetable on an average. Mean body mass index of Ilam and Dhankuta were about 22.7 and 22.9 respectively while 3.7% participants in Ilam and 4.0% participants in Dhankuta districts were obese. Mean diastolic blood pressure of Ilam and Dhankuta districts were about 81.7 mm of Hg and 81.8 mm of Hg respectively. The prevalence of raised blood pressure was 27.3% in Ilam and as 24.3% in Dhankuta district. Prevalence of raised fasting blood glucose was 13.3% in Ilam and 6.5% in Dhankuta districts. Similarly, 11.6% and 11.20% participants of Ilam and Dhankuta districts had raised level of cholesterol or had medication for raised cholesterol.
Item Description:Research Report.
Physical Description:vii,17p.