Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 7th World Congress on Public Health, Nutrition & Epidemiology Singapore.

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Scientific Program Day 1
Scientific Program Day 2

Day 2 :

  • Public Health & Nutrition | Nutritional Health & Epidemiology | Sexually Transmitted Diseases | Globalization and Health | Mental Health and Mental Disorders

Session Introduction

Zolani Metu

WITS University, South Africa

Title: Reintegrating Forensic Mental Health Service Users into Communities In The Western Cape, South Africa
Speaker
Biography:

Zolani Metu is the founding CEO of Decolonial Mental Health (Pty) Ltd, a start-up company that provides afro-centric solutions to complex mental health problems in South Africa. He is passionate about addressing health inequities and social determinants of health, with attention to mental health. The Mandela Rhodes Scholar holds a Master of Social Sciences (cum Laude, Mental health Research) from the prestigious University of Cape Town, and currently works as a Pre-PhD Intern at WITS University’s School of Public Health. Zolani has work experience from Washington DC, USA where he worked on an AIDS Free, USAID/PEPFAR project at a Public Health Consultancy known as John Snow Inc. He also worked in Burundi, East Africa, for an organization called Village Health Works; where he focused on Maternal Mental Health. Zolani also holds a strong passion for leadership and is an alumnus of the South African Washington International Program (SAWIP).

Abstract:

The death of more than 140 psychiatric patients who were unethically deinstitutionalized from the Life Esidimeni hospital Johannesburg, in 2016, shined light on South Africa’s failing Public Mental Healthcare System. Compounded by insufficient research evidence on African deinstitutionalization, this necessitates inquiries into deinstitutionalized mental healthcare, reintegration and community-based mental healthcare within the South African context.
 
This study employed a quantitative research approach which utilized a cross-sectional research design, to investigate experiences with the reintegration of institutionalized forensic mental health service users into communities in the Western Cape, South Africa. A convenience sample of 100 mental health care workers from different occupational and organizational backgrounds in the Western Cape was purposively selected using the Western Cape Health Directorate as a sampling frame. A self-administered questionnaire (SAQ) was used as the data collection instrument.
 
The results of the study indicate that criminogenic factors such as substance use, history of violent behaviour, criminal history and disruptive social behaviour complicate the reintegration of forensic mental health service users into communities. The current extent of reintegration of forensic mental health service users was found to be “poor” (46%; n= 46); and financial difficulties, criminogenic factors and limited Community Based Care (CBC) facilities were identified as key barriers to the reintegration process. 56% of all job applications for forensic mental health service users were unsuccessful and 53% of all applications for their admission into CBC facilities were declined. Although social support (Informal) was found to be essential for successful reintegration, institutional support (formal) through Assertive Community Treatment (35%; n= 35) and CBC facilities (21%) and the Disability Grant (DG=50%) was found to be more important for family coping and reintegration.
 
Moreover, 72% of respondents had positive perceptions about the process of reintegration; no statistically significant relationship was found between years of experience and perceptions about reintegration (P-value = 0.062); and perceptions were not found to be a barrier to reintegration. No statistically significant relationship was found between years of working experience and understanding the legislative framework of deinstitutionalization (P-Value =.0.061). However, using a Chi-square test, a significant relationship (P-value = 0.021) was found between sex and understanding the legal framework involved in the process of reintegration. The study recommends a post 2020 deinstitutionalization agenda that factors-in criminogenic realities associated with forensic mental health service users, and affirms the strengthening of PHC and Community Based Care systems as precedents of successful deinstitutionalization and reintegration of mental health service users.

Saroj Shinde

Tata Institute of Social Sciences, India

Title: Equity principle in the Nationa health policy in India and its implementation since past to present.
Speaker
Biography:

She is interested in working on the health issues of vulnerable population pockets such as pavement dwellers, tribal population, sugarcane cutters, and lower caste people in India. Her specific research areas are Women and health, Reproductive health, Migrant health, Menstrual hygiene and sanitation and family planning.

 

Abstract:

Statement of the Problem: The principle of equity has considered as more ethical and also closely allied with the human right principles. In India  the drafts of the National health policy are ensuring large space for the equity principle to build healthy nation. Despite of that,  there are a very prevailing differences and gaps between the health status of people from different sections of  society in India. People from the lower caste and the tribal population are with the lowest health status. This situation highlights that particular section counters the unjust and unfair treatment in terms of health and services. There is a need to focus inequity in the health sector because it is unnecessary and certainly avoidable to the large extent. Certainly, all three NHPs guided to make progress in achieving the goals of “health for all, MDGs and now SDGs to less or large extent, however, we need to accept that at the implementation level  only certain determinants of the health  focused on larger scope and some neglected.Methodology  This article is the result of a critical review of all the three National health policies in India from 1983 to 2017 to find out in what way equity principle gained importance in the draft. Further, to highlight the existing gap in the health status, the published reports of the National Family health survey I, II, III, and IV also reviewed and used as the supporting sources in this article. Other articles also reviewed to understand the equity principle and to support the arguments of prevailing health inequity in India. Findings: All the policy drafts had given concern towards the equity principle. Still, we are struggling to bring it into the implementation and not meeting equity principle that has been promised by the Health Policies. Historically, the gaps in the health status of the people were there on the basis of caste hierarchy (General, OBCs, SCs STs) and even today we encounter the same pattern of gaps sharply.  

 

Anupama Sharma

SMILE Foundation, India

Title: Behavior Change Intervention Strategy Double Fortified Salt for Tribal Population: Bridging the Gap -Public Distribution System and Consumer Needs
Speaker
Biography:

Anupama is MBA graduate in Health care management and also did MS International Health Policy and Management from Heller School for Social Policy, Brandeis University, US.  She is currently a independent consultant in health sector. Earlier to that, she was Senior Manager Health Division with Ecorys India Pvt Ltd. I also served as Assistant Professor Hospital and Health Management at International Institute of Health Management Research (IIHMR) Delhi. Over 16years of experience in Indian and International industry, she has been providing consultative technical support to Ministry of Public Health and other leading NGO’s in Afghanistan. She is also a editorial board review member for Bulletin of World Health Organisation and certified auditor for MoHFW National Quality Assurance Standards in Public Health India. She is also founding member of Uniworld Care Private limited and SPARK.FiT. Ms. Anupama is also a national athlete and world champion in powerlifting.

 

Abstract:

Statement of the Problem: Iron deficiency is prevalent in two thirds of the children and women of child bearing age in most developing countries. NFHS-4 MP has the prevalence of Anemia 21.4% in urban area and 27.4%, in rural. Double fortification of salt with iodine and iron is an ideal way to eliminate iron deficiency along with iodine.  Methodology- study to assess behaviour of consumers/ vendors & PDS system through qualitative research and identify key barriers and enablers for behaviour change related to consumption of DFS was implemented in five districts of MP. The findings showed Multi prong BCC strategy has to be adopted based on socio-economic status and literacy levels of the households, along with mobile based innovation and local traditions

 

Niaz Ahmed

SZABIST University, Pakistan

Title: To confirm the diagnosis, to know magnitude, risk factors and recommend preventive measures
Speaker
Biography:

Niaz Ahmed belongs to a worst and backward area of rural Sindh, he is passionate and have more than 09 years working experience of Mobilization, Coordination, M&E, Accountability, Field and Project implementation and management with national as well as international non-profit organizations in Pakistan with passion of health related works and wellbeing .Niaz Ahmed has thorough knowledge of Social development projects with monitoring and accountability. I have implemented different projects of Health care and public health management with various capacity of designing in field coordination and outbreak investigations, M&E plans designing, evaluations and putting accountability framework into practice. Niaz Ahmed has extensive and rich experience of managing health related projects for a couple of years which has enriched my capacity to deliver my experience in a timely and effective manner. While working in the humanitarian sector, I have developed planning, execution, monitoring & evaluation, conflict solution, field management, communication and coordination skills as well as disease surveillance and research.

Abstract:

Abstract: 
Purpose: To confirm the diagnosis, to know magnitude, risk factors and recommend preventive measures.
 
Methods:
Investigation was carried out from 15th June to 19th June 2016. Any person of any age having episodes of loose motions > 3 times or Vomiting in 24 hours, associated with any of the following Nausea, abdominal cramps, blood in stool, fever, mucous in stool from 11th to 19th June 2016 .Active case finding conducted to identify the cases. Descriptive followed by matched case control study was carried out to evaluate the risk factors. Pretested questionnaire was used to collect data. Environment assessment was done. Stool and water samples were sent NIH for Laboratory analysis.
 
Results:
Total 132 diarrhea cases identified with over all attack rate 4% and case fatality rate 3%. Mean age was 18 years (range 1-60 years). Males were more affected 56% (n=73). The most affected group was 6-15 years 32% (n=34). Diarrhea n=132 (100%) and vomiting n=47 (45%) were the commonest symptoms. Owing to severe symptoms 87 (66%) were hospitalized, toilets near < 12 feet away from water source was found in 89% (n=121) of cases and 44% (n=59) in control. The distance between latrine and water source was statistically significant with getting the disease (OR= 11, 95% CI: 6-20, p<0.001) and in those whose family used to eat food combine (OR=7.3, 95% CI 4.2-12.6, p value < 0.001). Vibrio Cholera poly 01 Serotype inaba biotype E1 Tor were detected in 3 stool samples and water samples showed too numerous to count coliforms per 100ml along with ph. 7.9.
 
Conclusion:
Diarrhea outbreak occurred likely due to personal as well as environmental unhygienic practices. Health education session was initiated. Personal hygiene practices was imparted to community. Essential medicines and chlorine tablets distributed among the community. AWD surveillance system