Browsing by Author "Rasania, SK"
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Item A cross-sectional study of musculoskeletal disorder and their environmental determinants among cycle rickshaw pullers of Delhi: A geographical information system-based analysis(Wolters Kluwer-Medknow Publications, 2022-12) Kumar, Nitesh; Rasania, SK; Acharya, Anita Shankar; Rasheed, NazishIntroduction: Rickshaw pulling is among the major activities in the informal sector. Cycle rickshaw pulling involves the task of prolonged sitting, fixed posture, and vibrations which could increase the risk of developing many health problems including one of the major problems of musculoskeletal disorder (MSD). Rickshaw pulling remains important for urban transport system, and such activities contribute in terms of employment and transportation services. The injury and illness resulting from work leads to lower productivity and quality employment which force them to increase their daily hours of working. The work environment and various other environmental determinants for MSD were assessed. The spatial variability of these environmental determinants and MSDs of cycle rickshaw pullers was studied in Delhi. Material and Methods: A cross-sectional study was conducted among cycle rickshaw pullers of Delhi. Five districts were randomly selected, and out of 448 study subjects, a total of 425 were included in the study. Consent was obtained before the study. The Nordic Musculoskeletal Questionnaire instrument for MSDs was used. The spatial distribution of MSD and risk factors was studied using QGIS software. Results: MSD was observed in 51.5% of the cycle rickshaw pullers and the prevalence increased with age from 9.6% to 34.7%. A statistically significant association of MSD with duration of work, sleeping hour, and sleeping place was observed. Poor road condition and posture were also having an association with MSD. Conclusion: Every second cycle rickshaw puller was having MSD. Lifestyle, road conditions, harsh environmental condition, strenuous physical exertion, and ergonomics of the cycle rickshaw were important factors contributing for MSD.Item Gender of the baby and its impact on the health-related quality of life of postpartum women(Wolters Kluwer-Medknow Publications, 2022-06) Singh, Pallika; Rasania, SKIntroduction: Health-related quality of life (HRQoL) is a multidimensional concept and is relatively neglected in both research and practice. Gender equality is a crucial measure of human rights for millions of women and girls around the world. Most postpartum researches have focused on physical complications. This study was conducted to analyze the impact of gender of the baby on the HRQoL of postpartum women at 6 weeks. Material and Methods: The study was conducted in a resettlement colony, Kalyanpuri, located in Delhi, India, with a sample size of 330 postpartum women. The data were collected in the 6th week of postpartum period using the Medical Outcomes Study Short Form 36 Health Survey for HRQoL. Results: The findings showed that the birth of a male baby led to a significantly (P < 0.05) better mean HRQoL score than the birth of a female baby. The mean scores of general health, vitality, social functioning, and mental health domains were significantly less in the case of a female newborn child. Conclusion: The male dominance in the Indian society which leads to financial supremacy and coercion for continuation of family lineage was an important predictor of lower HRQoL of the women in the postpartum period. This demonstrates the need for risk factor for gender equity to and achieve universal health coverage.Item Health-related quality of life: The neglected facet of women's health in India(Wolters Kluwer-Medknow Publications, 2022-12) Singh, Pallika; Rasania, SKQuality of life (QoL) is a multidimensional concept and an essential health component that usually includes both positive and negative aspects of life. The measure of health-related QoL (HRQOL) enables health agencies and social partners to address areas of public health importance and formulate policies which eventually demonstrate the impact of health on QoL. Women form an important pillar of society as they are the primary caretaker of children and elders in every country of the world and therefore, the QoL of women determines the health of the next generation and future public health challenges for families, communities, and the health-care system. Providing health services at par with quality is the need of the hour and a very important health goal considering women's health. Poor delivery of clinical care, failure to meet the professional standards of patient care by health-care providers, mistreatment and abuse by health-care professionals, and inequitable delivery of care are some of the key issues in the delivery of quality maternal health-care services in India and therefore primary health-care professionals should be made familiar with the concept of the HRQoL in the community they are serving. Indian health-care systems need to address to the inequalities and taking off the consumer-centric, market approach of privately run corporate health facilities along with setting up of accountability of all the stakeholders to provide quality care, especially in the government-run facilities and creating a promising environment in health care for women focusing on pregnant and postpartum mothers.Item Inventory control: Its principles and application(MRI Publication Pvt. Ltd., 2022-03) Singh, A; Rasania, SK; Barua, KAvailability of good quality stock, in right quantity, at right place and time and at right cost is the essence of inventory control, which in turn is mandatory for smooth functioning and service delivery of any health care facility. Various techniques are available for inventory control, based on cost, criticality and other factors for e.g., ABC analysis, VED analysis, ABC-VED matrix, FSN analysis, SDE analysis etc. Each technique has its own strength and weakness in its applicability. Economic considerations are also imperative for logistic management of any health facility, as any cost savings could be spent more gainfully in some other way and thus more lives could be saved, reduced morbidities and overall positive impact. Future healthcare managers will have to utilize scientific methods of inventory management and the role of an efficient hospital logistics system cannot be ignored anymore. Inventory control is an important component of hospital management. It provides significant improvement in patient care, customer relationships and optimal use of resources. The objective of this paper is to present an up-to-date review of inventory control and critically appraise its various techniques, various costs associated with it and methods of indenting stock. This review will benefit post-graduate students and public health workers in understanding the concepts and principle of inventory control and applying the same in their practice.