Opinion and Usage Regarding Complementary and Alternative Therapies among Patients at a Tertiary Care Hospital in Lahore, Pakistan

Background: Complementary and alternative medicine (CAM) therapies are widely used among the population in Pakistan either separately or in conjunction with convention medical therapies. CAM therapies are used for varying reasons and result in complications as conventional treatment is often delayed resulting in increased morbidity and mortality. Objective of the study was to assess the opinions and usage regarding CAM therapies among patients in a tertiary care setup. Methods: Cross sectional study was conducted at Fatima Memorial Hospital, Lahore from April 2018 to June 2018. Sample size was calculated to be 186 which were equally divided between patients in OPD, ER and IPD. A structured questionnaire was administered. SPSS 20 was used for analysis. Results: In this study 112(60.2%) patients had used CAM for an illness whereas 74(39.8%) had never used CAM therapy. Most of the patients 165(88.7%) were able to differentiate between CAM and conventional therapies. Most frequent source of knowledge cited was family and friends 139(74.7%), previous users of CAM 83(44.6%) and media/internet 69(37.1%). Spiritual Healers (Pirs) were the most used modality of CAM at 64(34.4%) followed by hakeem and homeopathy. Most common reasons for using CAM were advice from family and friends, personal will and religious/spiritual reasons. Conclusion: Use of CAM therapies is widely prevalent in our study with more than half the respondents having used a modality of CAM. Users of CAM were found to be generally satisfied with the treatment.

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A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171760 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1542 ◽

Cited By ~ 1

Author(s):

Dasari Gayathry ◽

Visweswara Rao Guthi ◽

Sameer Bele ◽

Achanta Vivekannada

Keyword(s):

Maternal Morbidity ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Morbidity And Mortality ◽

Indications And Complications ◽

Structured Questionnaire

Background: Cesarean section is one of the most commonly performed surgical procedures in the world. Several studies have demonstrated that c/s poses a greater risk of maternal morbidity and mortality compared to vaginal delivery. Therefore, it is important to assess the morbidities associated with a c/s. Methods: A hospital based, cross sectional study was conducted among 240 women during the period of March-May 2014. A semi-structured questionnaire was used to evaluate the socio-demographic characteristics, obstetrical characteristics, indications and complications following c/s. Results: A total of 150 (62.5%) respondents underwent emergency c/s whereas 90 (37.5%) were having elective c/s. The most common indication for cesarean delivery was a previous c/s observed in 70 (29.2%). No postpartum morbidity was observed in 152 (63.3%) of the respondents, whereas 88 (36.7%) had reported some or other kinds of morbidities. Among the various maternal morbidities, postpartum anemia was the most commonly observed morbidity in 22 (9.2%) of the respondents, followed by postpartum hemorrhage by 10 (4.2%) and wound infection was observed in 15 (6.25%). Conclusions: High maternal morbidity following c/s was observed in studied sample as more than one third of the women had shown some or other kinds of morbidities. Efforts should be made to evaluate the reasons for increasing c/s rate and to reduce the incidence of c/s by careful antenatal and intranatal management.

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Insurance coverage among patients admitted in a tertiary care hospital

Panacea Journal of Medical Sciences ◽

10.18231/j.pjms.2021.070 ◽

2021 ◽

Vol 11 (2) ◽

pp. 354-356

Author(s):

Arti A Kasulkar ◽

Meenal V Kulkarni

Keyword(s):

Tertiary Care Hospital ◽

Insurance Coverage ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Medical Expenses ◽

Insurance Data ◽

Structured Questionnaire

“Health insurance” is an insurance that covers the whole or part of the risk of a person incurring medical expenses, spreading the risk over a large number of persons. To find out proportion of insurance coverage among patients admitted in a tertiary care hospital and to assess reasons for non-coverage of insurance.Hospital based cross sectional study was conducted among 272 patients admitted in a tertiary care hospital. After taking informed consent, interview of patient was conducted. Data was entered in a predesigned, semi-structured questionnaire. Detailed interview of the patient was conducted regarding coverage of insurance, type of insurance used, reasons for enrolling insurance and reasons for not enrolling insurance. Data was analysed by using EPI INFO statistical software.Insurance coverage was found to be 29%. 44.31% population received information regarding insurance from Friends and relatives. Lack of awareness was the reason reported by 45 % patients for not utilizing insurance.Coverage of insurance was found to be poor. Patients should be made aware regarding various insurance schemes provided by Government for benefit of patients.

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A study to assess awareness amongst pregnant women about the effects of drugs on the fetus and self-medication

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20171105 ◽

2017 ◽

Vol 6 (4) ◽

pp. 924

Author(s):

Neeta Banzal ◽

Kirti Saxena ◽

Malti Dalal ◽

S. K. Srivastava

Keyword(s):

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

Interview Technique ◽

Structured Questionnaire

Background: The present study was conducted with an objective to assess the awareness of drug use in pregnancy, to assess the knowledge of pregnant women on effect of drugs on foetus and to assess the self-medication among pregnant women.Methods: This was a prospective, observational, cross-sectional study conducted on randomly selected 200 pregnant women attending a tertiary care hospital in Surat, Gujarat, India. Data was collected by means of a pre-designed semi-structured questionnaire composed of 26 questions on self-medication during pregnancy and knowledge about that. The data was collected by interview technique in which each participant was asked questions in the language of her understanding in a separate room.Results: The average age of the participants was 23.7±3.68 years. About 91% were not aware about the effect of medication on the health of foetus and did not even enquire about it. At the time of survey, 74% pregnant women were on some kind of medication. More than 80% were not aware about the duration of medication. About 51% were taking medication on regular basis. The proportion of self-medication among pregnant women was 8.5% (includes 5.5% by themselves and 3% by advice of chemists).Conclusions: There is a lack of awareness amongst the pregnant women regarding the effect of the drugs on the health of foetus. More than half of the women take medication on regular basis. However, low proportion of self-medication during pregnancy suggests that during pregnancy women preferred to take advise of physician for medication rather than taking self-medication.

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