Education and screening for obesity, hypertension, and diabetes (including gestational diabetes) “at the doorstep” of women from nine underprivileged urban areas in Delhi National Capital Region

Gopalan, Hema S; Haque, Intazaamul; Ahmad, Shamshad; Gaur, Ashok; Misra, Anoop

doi:10.1016/j.dsx.2021.102209

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Health initiatives with vulnerable populations many times focus on health education ( 7 , 8 ). The underlying assumption is that with better education on a healthy diet that individuals will have better nutrition consistent with disease prevention.…”

Section: Introductionmentioning

confidence: 99%

A cautionary tale for health education initiatives in vulnerable populations: Improving nutrition in Haiti prisons

et al. 2022

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IntroductionPrisons in low-income countries have barriers to providing adequate nutrition to the incarcerated. This perspective discusses a quality improvement program with health education to improve nutrition provided to men in two prisons in Haiti.MethodsIncarcerated men in the National Penitentiary in Port Au Prince and the prison in Mirebalais were the focus of the program. A culturally competent educational intervention was delivered to the prison cooks. Program evaluation included a baseline and a follow-up assessment in 2021 and 2022 in both prisons. Calories, body composition, and nutrition were assessed at both time points.ResultsAmong 1,060 men assessed in the baseline time period, the mean number of calories per day was 571. Further, 62.5% had a vitamin C intake insufficient to prevent scurvy and 91.6% had vitamin B1 insufficient to prevent beriberi. In the follow-up period, caloric intake decreased to a mean of 454 per day (p < 0.001). The proportion of incarcerated men who had insufficient vitamin C and vitamin B1 to prevent disease increased in the follow-up period.DiscussionThe caloric and nutritional intake of incarcerated men in Haitian prisons is poor and is getting worse. The educational intervention with the cooks was not successful due to civil and political strife in the low-income country of Haiti. Standard interventions to improve nutrition need to consider the social context for accessing food.

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Section: Introductionmentioning

confidence: 99%

A cautionary tale for health education initiatives in vulnerable populations: Improving nutrition in Haiti prisons

et al. 2022

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Expanded and intensified population-based screening and diagnosis of hypertension and diabetes mellitus among rural adults in Northern India: An implementation research in routine programmatic setting

Soundappan,

Periyasamy,

Rana

et al. 2024

International Journal of Noncommunicable Diseases

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Background: The National Noncommunicable Disease Program of India currently recommends population-based NCD screening (PBS) among people aged ≥30 years. The low turnaround for diagnosis confirmation is a consistent issue the program has faced since its launch. The current study assessed an expanded PBS (including people 18–29 years) and intensified (home-based) diagnosis confirmation strategy for hypertension (HT) and diabetes mellitus (DM) in a routine programmatic setting. Materials and Methods: This implementation research was conducted among all people aged ≥18 years in a rural health block in northern India. The eligible population was screened for HT and DM (using random blood sugar), and the screen positives were asked to visit a nearby public health facility (preferably) for diagnosis. An intensified home-based diagnosis confirmation was offered to screen positives who did not visit the health facility for diagnosis confirmation. Results: Of the 2004 participants screened, 1149 (57.3%) were female and 586 (28.2%) were aged 18–29 years. A total of 353 (20.2%) and 200 (10.9%) were found newly screened positive for HT and DM, respectively. The turnout rate for facility-based confirmation ranged from 69.6% to 91.2%. The prevalence of HT and DM in people aged 18–29 years and ≥30 years was 6.1% and 2.9% and 30.0% and 26.2%, respectively. The expanded screening and intensified home-based diagnosis confirmation strategies yielded an additional 12.8% HT and 24.1% DM among the total new cases detected. Conclusion: An expanded PBS and intensified diagnosis confirmation is feasible in a programmatic setting and has yielded additional new cases. Cost effectiveness of the above strategy must be assessed in future studies. Further, in-depth understanding of the risk perception, and potential cultural, social, and health system factors for improving the uptake of confirmatory tests is the need of the hour.

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Education and screening for obesity, hypertension, and diabetes (including gestational diabetes) “at the doorstep” of women from nine underprivileged urban areas in Delhi National Capital Region

Cited by 2 publications

References 16 publications

A cautionary tale for health education initiatives in vulnerable populations: Improving nutrition in Haiti prisons

A cautionary tale for health education initiatives in vulnerable populations: Improving nutrition in Haiti prisons

Expanded and intensified population-based screening and diagnosis of hypertension and diabetes mellitus among rural adults in Northern India: An implementation research in routine programmatic setting

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