Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 5th World Congress on Public Health and Nutrition London, UK.

Day 1 :

Keynote Forum

Abhiruchi Galhotra

All India Institute of Medical Sciences, India

Keynote: An overview of health care system in India

Time : 11:30-12:00

Conference Series Public Health 2020 International Conference Keynote Speaker Abhiruchi Galhotra photo
Biography:

Working as Additional Professor, Dept of Community & Family Medicine, AIIMS, Raipur. Nodal Officer for ICMR funded Research Project on Prevalence & Etiology of Hearing Impairment. Post PG teaching experience of 17 years. Supervisor for 2 PG thesis. Contributed 5 chapters in various textbooks of which one is by Springer Nature and 2 others are by Springer. I also have more than 25 research publications to my credit which includes, original articles, review articles, commentary, viewpoint and letter to editor. Had been instrumental in establishing the department of Community & Family Medicine at AIIMS Raipur.

Abstract:

Health Care embraces a multitude of “services provided to individuals or communities by agents of the health services or professions, for the purpose of promoting, maintaining, monitoring, or restoring health.” Health services meet the needs of entire population; cover the full range of Preventive, Curative and Rehabilitative services, as part of the basic social services of a country. India has a population of over 1.2 billion with 28 states and 9 Union Territories. 

Central government formulates comprehensive health policies and plans under the direction of the Ministry of Health and Family Welfare for items of national importance, including disease control, medical education, the medical profession, and state budgets, are the shared responsibility of the central government and individual states. Public health sector consist of

Primary Health Care (Provided at Sub centre)

Secondary Health Care (Provided at PHC, CHC, DH)

Tertiary Health Care (Provided at large hospitals)

Public health sector is multifaceted various types of providers practicing in different systems of medicine, within different ownership structures. Individual states are given primary authority over most aspects of healthcare. An estimated 80% of public healthcare funding comes from the states. In-patient hospitalisation expenditure in India increased to 300% in last 10yrs in which more than 80% of expenditure met by OOPE, which leads to nearly 6million families getting into poverty due to catastrophic health expenditure. This led Government of India to launch Ayushman Bharat on 23 September 2018 with objective to cover over 10.74 crore poor and vulnerable families.

 

 

Keynote Forum

Prabhaker Mishra

Sanjay Gandhi Postgraduate Institute of Medical Sciences, India

Keynote: The importance of sample size in research studies

Time : 10:40-11:10

Conference Series Public Health 2020 International Conference Keynote Speaker Prabhaker Mishra photo
Biography:

Dr. Prabhaker Mishra (DOB: January 1979), presently working as Associate Professor in SGPGI Lucknow-India. He had completed his PhD in Statistics on the topic “Statistical Study of Human vulnerability and Risk. Assessment of Natural Hazards in Orissa” as Senior research fellowship (ICMR) in 2010. He had worked as Assistant Professor (Biostatistics) in the Department of Community Medicine, in medical colleges during 2011 to 2014. He had co-supervised 12 MD students; and presently other 31 MD /2PhD and 1PhD students are pursuing under his co-supervision /supervision. He had published 82 research papers in various national / international journals. His expertise area is applied and medical statistics.

 

Abstract:

The increasing volume of research by the medical community are also leading numbers of contradictory findings and conclusions. The main reason of the these contradiction are sampling variability and sample size. The differences observed between the groups may represent true difference, but significance level of the same difference is varying from one study to another study due to variation in sample size. Sample size not only affect the level of significance but also affect the power of the study and margin of error. Sample size has no direct relationship with effect size although increasing sample size increases reliability of the effect size detected between the groups. An appropriate sample size, allows the researcher to control the error (Type I & II error). At the time of planning of the study, the researcher must establish a justifiable level of statistical significance, with corresponding power of the study, targeted difference (ie, effect size), and the variability of the data (for continuous data). The proper planning of sample size can boost the study importance. The aim of this study is to discuss the efffect of sample size on level of significance, power of the study and the reliability of the research findings.   

 

Break: Network & Refreshment Break 11:10-11:30 @ Foyer

Keynote Forum

Abhiruchi Galhotra

All India Institute of Medical Sciences, India

Keynote: An overview of health care system in India

Time : 11:30-12:00

Conference Series Public Health 2020 International Conference Keynote Speaker Abhiruchi Galhotra photo
Biography:

Working as Additional Professor, Dept of Community & Family Medicine, AIIMS, Raipur. Nodal Officer for ICMR funded Research Project on Prevalence & Etiology of Hearing Impairment. Post PG teaching experience of 17 years. Supervisor for 2 PG thesis. Contributed 5 chapters in various textbooks of which one is by Springer Nature and 2 others are by Springer. I also have more than 25 research publications to my credit which includes, original articles, review articles, commentary, viewpoint and letter to editor. Had been instrumental in establishing the department of Community & Family Medicine at AIIMS Raipur.

 

Abstract:

Health Care embraces a multitude of “services provided to individuals or communities by agents of the health services or professions, for the purpose of promoting, maintaining, monitoring, or restoring health.” Health services meet the needs of entire population; cover the full range of Preventive, Curative and Rehabilitative services, as part of the basic social services of a country. India has a population of over 1.2 billion with 28 states and 9 Union Territories. 

Central government formulates comprehensive health policies and plans under the direction of the Ministry of Health and Family Welfare for items of national importance, including disease control, medical education, the medical profession, and state budgets, are the shared responsibility of the central government and individual states. Public health sector consist of :
Primary Health Care (Provided at Sub centre)
Secondary Health Care (Provided at PHC, CHC, DH)
Tertiary Health Care (Provided at large hospitals)

Public health sector is multifaceted various types of providers practicing in different systems of medicine, within different ownership structures. Individual states are given primary authority over most aspects of healthcare. An estimated 80% of public healthcare funding comes from the states. In-patient hospitalisation expenditure in India increased to 300% in last 10yrs in which more than 80% of expenditure met by OOPE, which leads to nearly 6million families getting into poverty due to catastrophic health expenditure. This led Government of India to launch Ayushman Bharat on 23 September 2018 with objective to cover over 10.74 crore poor and vulnerable families.

 

  • Public Health & Nutrition | Sexually Transmitted Diseases | Mental Health & Mental Disorders |Healthcare Nursing | Maternal, Infant & Child Health | Medical Ethics & Fitness Guidelines
Location: London, UK
Speaker

Chair

Prabhaker Mishra

Sanjay Gandhi Postgraduate Institute of Medical Sciences, India

Speaker

Co-Chair

Abhiruchi Galhotra

All India Institute of Medical Sciences, India

Session Introduction

Raghav Khanal

Hope International College, Nepal

Title: Depression and its associated factors among people living with HIV/AIDS in Kaski district, Nepal

Time : 15:10-15:30

Speaker
Biography:

I am Raghav Khanal and I am a Public Health Student from Nepal. I very much interested in scientific study and research. I also have a lot of good experience working in Public Health Field under our Academic Curriculum. Beside my Academic field I am also Musician and I play Guitar, Piano, Ukulele and Madal (folk instrument of Nepal). I also involve in Parijat Band where we compose originals. And I am also very much energetic in travelling and trekking I Himalayas.

Abstract:

People Living with HIV/AIDS are at a higher risk of mental disorder with a prevalence that is two to four times higher compared with comparable HIV-negative individuals or the general population. The study had major objective to find the prevalence of depression and its associated factors among people living with HIV/AIDS in Kaski district Nepal. The study design used was descriptive cross-sectional study design among People living with HIV/AIDS undergoing ART centre at Pokhara Academy of Health Science which is the only ART centre of whole Kaski district. All the registered cases under the ART were the study population (n=278).The depression assessment was done by Using Nepali Version Beck Depression Inventory and Semi structured questionnaire was used.The study found that the prevalence depression among PLWHAS in Kaski district, Nepal was (27.7%) with mild (13.3%) depression was highest, followed by moderate (8.6%) and severe (5.8%) depression. The Study found that different factor such sex, employment, educational status, discrimination, tobacco consumption etc were significantly associated with depression and the study also showed that female are more likely 2.577 more likely to have depression then men, illiterate were also 2.66 times more likely to have depression than literate respondents, etc. The study also showed that there is Negative Correlation between depression score and monthly income of respondent. The study concluded that the prevalence of depression among People Living with HIV/AIDS in Kaski district was (27.7%) and demographic, social, economic and behavioral factors like sex, educational status, income, discrimination, tobacco consumption, etc were significantly associated with depression.

 

Speaker
Biography:

Nirmala M. Emmanuel has completed her MSc Nursing at the age of 30 years from Christian Medical College (CMC), Vellore affiliated to Tamilnadu Dr. MGR Medical University. She is working as a Nurse Manager in the Surgical Nursing department of CMC, which is a multispeciality hospital with nearly 2500 beds. She also serves as a Professor at the College of Nursing, CMC, Vellore. Nursing is an integrated system of education and practice in the institution. She has published more than 10 papers in reputed journals and has National and International presentations for her credit.

Abstract:

Introduction: Low back pain (LBP) affects 80% of the population globally. In India, prevalence of LBP among nurses is reported to be 66%. Methodology: A descriptive cross-sectional study design was adopted to assess the sleep quality of nurses with low back pain in a tertiary care setting, South India and to determine the relationship of sleep quality with the physical and psychological parameters such as pain intensity, functional disability, anxiety, and depression. All the nurses willing to participate in the study, and available during the data collection period were screened for LBP. Among the nurses with LBP, 193 subjects were selected using systematic random sampling technique. Study was approved by the Institutional Review Board and informed written consent was obtained from the subjects. Subjects were asked to complete the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Short-form McGill Pain Questionnaire (SFMP), Oswestry Low Back Pain Disability Questionnaire (ODI), Zung Self-rating Anxiety (ZSA) and Depression (ZSD) scales. Results: Among 1284 nurses screened, 686 (53.4%) had LBP. Of the 193 nurses included in the study 68.4% of the nurses had good quality of sleep. Majority of the subjects had minimal disability (68.4%), moderate pain (81.3%), and normal anxiety (56.3%) and depression (91.7%) levels. There was a significant positive correlation between sleep quality and pain intensity (r=.355, p<.01), disability (r=.376, p<.01), anxiety (r=.297, p<.01), and depression (r=.233, p<.001). Conclusion: Improving sleep quality will decrease the physical and psychological manifestations of patients with low back pain and hence improve the quality of life of nurses with LBP.

 

Maria Kyprianidou

Cyprus University of Technology, Cyprus

Title: The prevalence of multi-morbidity in Cyprus; A cross-sectional study

Time : 15:50-16:10

Speaker
Biography:

Maria Kyprianidou is a PhD candidate in Public Health in the Cyprus International Institute for Environmental and Public Health, Technical University of Cyprus. She has studied Mathematics at University of Patras and took her MSc in Biostatistics from the University of Athens. She has been involved in several epidemiologic surveys about the short term effects of atmospheric pollution on pediatric admissions in Arkansas (USA), the associations between physical activity, TV watching and tobacco use among Cypriot adolescents, as well as the EUVETCARE project.

 

Abstract:

Introduction: Multi-morbidity is defined as the co-existence of two or more chronic conditions. As the average life expectancy is increasing worldwide so does the prevalence of multi-morbidity.

Objectives: To estimate the prevalence of multi-morbidity in the general adult population of Cyprus as well as to identify the most common diseases and its combinations.

Methods: The referent population was the general adult population of Cyprus. A representative sample of n=1143 individuals, 18-94 years old was surveyed during 2018-2019. Demographic characteristics, chronic clinical and mental conditions were collected through a validated questionnaire. Chronic conditions were classified according to the International Classification of Diseases, 11th Revision (ICD-11).

Results: We estimated that 25.81% of the participants had multi-morbidity, and the rates increased according to age (p for trend <0.001); the highest prevalence was among people aged 65+, i.e., 68.89%. The prevalence of multi-morbidity was higher in females than males (28.19% vs. 22.78%, p=0.039) and similarly among residents of urban vs. rural regions (26.53% vs. 23.79%, p=0.371). The most prevalent chronic diseases were hypercholesteremia (17.90%), followed by hypertension (13.27%), thyroid diseases (8.80%) and gastric reflux (7.83%), while the most common combinations were diseases of circulatory (63.5%) and endocrine system (67.7%).

Conclusion: The significant proportion of Cypriots who has multi-morbidity, even from the younger ages, underlines the emerge need of prevention strategies and relevant programs for the entire population.

 

Break: Network & Refreshment Break 16:10-16:30 @ Foyer
Speaker
Biography:

Dr. Mithun Gupta has completed her Masters of Public Health from National Institute of Preventive and Social Medicine (NIPSOM), Bangladesh. She has been working in public health since last seven years. She is now working as a Senior Sector Specialist and leading programme focusing early childhood nutrition of Health, Nutrition and Population department of BRAC, which is world’s number one development organization. She has worked with the research team of NIPSOM and participated in several conferences to share her experiences in working with the community people.

 

Abstract:

According to Bangladesh Demographic Health Survey (BDHS 2014) only 55% infants aged 0-6 months are exclusively breastfed mainly due to traditional norms and lack of knowledge of mothers / family members about recommended practices (Formative Research Report, Ministry of Information & UNICEF, 2014). Moreover, according to the Bangladesh national labor force survey in 2010, around 3.2 million women are working in Garments sector. Most of them reside in urban slums where malnutrition rates are high. Despite having major contribution to the national growth, they have very limited access and rights to enjoy benefits like maternity leave, baby-friendly policies etc. Female workers in lactating stage often face challenges to ensure EBF. Through Mothers@Work initiative of UNICEF, BRAC is implementing this programme to improve EBF support and practice for working mothers in RMG factories by engaging public, private and civil society stakeholders.

The objective of the programme is to improve quality of breastfeeding counseling and support for pregnant and lactating mothers (PLW) during ANC and PNC as well as to improve EBF practices in the workplace.

This project aims to address the bottlenecks to practice EBF in workplaces. Two RMG factories were selected randomly of Dhaka district to implement seven minimum standards (such as maternity leave and benefits, day-care & breastfeeding centers, breastfeeding supportive environment, maternity health protection, breastfeeding breaks etc.) based on the Global and Bangladesh policy framework and guidelines to enhance breastfeeding support among working women through targeting senior, mid management and general workers of factories. Working PLW’s are counseled every month on breastfeeding techniques and problem solving. Breastfeeding corners were also established. Monthly progress report and quarterly monitoring tools were used to track the findings.

The project after running almost one and half years could increase EBF rates from 17% (October 2016) to 72% (August 2018) in both factories. Factors that influenced the improved EBF practices were identified as functional breastfeeding corners, involvement of higher management and hands-on support to PLW mothers regarding attachment, positioning and manual expressions of breast-milk with labeling and storing.  

The outcome shows how counselling, enabling environment and monitoring during ANC and PNC can improve EBF practice among working mothers.

Prabhaker Mishra

Sanjay Gandhi Postgraduate Institute of Medical Sciences, India

Title: Application of Z-scores in assessment of growth and nutritional status in children

Time : 16:50-17:10

Speaker
Biography:

Dr. Prabhaker Mishra (DOB: January 1979), presently working as Assistant Professor in SGPGI Lucknow-India since July 2014. He had completed his PhD in Statistics on the topic “Statistical Study of Human vulnerability and Risk. Assessment of Natural Hazards in Orissa” as Senior research fellowship (ICMR) in 2010. He had worked as Assistant Professor (Biostatistics) in the Department of Community Medicine, in medical colleges during 2011 to 2014. He had co-supervised 8 MD students; and presently other 12 MD /1PhD students are pursuing under his co-supervision /supervision. He had published 68 research papers in various national / international journals. His expertise area is applied and medical statistics.

Abstract:

Anthropometric measurements are used to assess the size, shape and composition of the human body. Percentiles and Z-scores are routinely used in clinical practice to assess and monitor children’s growth and nutritional status and also widely used in the analysis of data from child nutrition surveys and epidemiological studies. Although Z-score is widely recognized as the best method of anthropometric data to assess the growth and malnutrition as well as risk of overweight, underweight , stunting, thinning etc. Z-score (or SD-score) is ratio of difference between observed value of the data and median value of the reference population w.r.t. standard deviation value of reference population. i.e.  Z score system expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean or median value. Usually Z-score is calculated for weight-for-height, weight-for-age, height-for-age, and BMI-for-age. The aim of this study is to discuss the methods of computation of Z score for children for their anthropometric measurements and its advantages and disadvantages over percentiles.

 

 

Speaker
Biography:

Working as Additional Professor, Dept of Community & Family Medicine, AIIMS, Raipur. Nodal Officer for ICMR funded Research Project on Prevalence & Etiology of Hearing Impairment. Post PG teaching experience of 17 years. Supervisor for 2 PG thesis. Contributed 5 chapters in various textbooks of which one is by Springer Nature and 2 others are by Springer. I also have more than 25 research publications to my credit which includes, original articles, review articles, commentary, viewpoint and letter to editor. Had been instrumental in establishing the department of Community & Family Medicine at AIIMS Raipur.

Abstract:

Universal access to adequate sanitation is a fundamental human right Article 21 of Indian constitution. Hygienic sanitation facilities are crucial for public health. The world continues to urbanize and the cities increasingly bear the burden of poor sanitation with an estimated 57% and 16% of urban dwellers lack access to toilets and basic sanitation services respectively. Almost 100 million urban residents practice open defecation in the midst of challenges of providing many millions of rural households with adequate sanitation The issue of toilets is more serious in urban areas because in urban areas, spaces are cramped and open space is deficient. Our objectives of the study to assess the availability and accessibility of various types of sanitary facilities to adolescent girls. Community-based cross-sectional study. Complete enumeration of adolescent females (10-19years) living in the selected division was done and a list of the same was prepared (107). Written informed consent was obtained from all the study participants. Out of a 107 adolescent girls enumerated, 98 consented for the study. Mean age of adolescent girls in the present study was 15.44 ±2.2years and a majority of them were in high school. Only 38.7%(n=38) of study subjects had access to an independent household/private toilet facility, 9.2% (n=9) were practicing open defecation and remaining 52% (n=51) were using public/community pooled toilets. Common problems faced by Public/pooled toilet users were lack of privacy in 56.9%(n=29) and about males gathering around the toilets that were there in 66 % (n=34) of the public toilet users.

 

Speaker
Biography:

Ayush Malhotra is a grade 8 student at Centennial Public School in Waterloo, Ontario. Over the last year he has worked on this research project and had the pleasure of presenting his work at the Annual Canadian Wide Science Fair (CWSF) held in New Brunswick. Shavin Malhotra helped guide Ayush on this project and Ayush hopes to continue expanding this line of research in future.

 

Abstract:

Background: Obesity levels have increased significantly around the world. Earlier studies showed that obesity was a disease of the socioeconomic elite-those who were wealthier, had easier access to more food, who in the process consumer high calories, leading to obesity. In contrast, recent studies show a negative correlation between high socioeconomic conditions and obesity levels. A limitation with these studies is that they rely on a small sample of countries.

Aims: In this study we determine the effects of a countries’ income and life expectancy rates on obesity rates for both men and women.

Material and Methods: We ran a fixed effect panel regression analysis on a sample of 202 countries over 41 years.

Results and Significances: We find, that if a country’s GDP per capita increased by a $1,000, the number of women who are obese would decrease by .02%. Interestingly, for men, the findings did not match: an increase in GDP per capita increased obesity rates among men. We also find that as the obesity rate of a given country increases, its life expectancy decreases, however, this affect is twice as strong for men than for women. These results shed light on the fact that our current approaches to reducing obesity may work for women but may not be working for men. Future policies to tackle obesity should take in to behavioural differences across gender.

 

Shiva Nematgorgani

Shahid Beheshti University of Medical Science, Iran

Title: Effects of socio-demographic factors and feeding practices on dietary intake in 3-6 years old children

Time : 17:50-18:00

Speaker
Biography:

Shiva Nematgorgani has completed his Master from Iran University of Medical Science. He is pursuing his PhD in Shahid Beheshti University of Medical Science, School of Nutrition. He has published 3 papers in reputed Iranian and international journals and has great experience in Clinical nutrition research.

 

Abstract:

Aims: This study aimed to investigate the association between socio-demographic factors and child feeding practices with diet in 3- 6 years old children.

Methods: A cross-sectional study of 208 mothers with their children aged 3-6 years was carried out in 30 primary schools of Rasht, Iran in 2018. Measures included socio-demographic factors, aspects of parental control practices and the child's diet. Mothers reported their own and their child's demographics. Aspects of child feeding practices were assessed using Comprehensive Feeding Practices Questionnaire (CFPQ) after investigating validity and reliability of questionnaire. Food Frequency Questionnaire (FFQ) was then used to assess the child's dietary intake. Height and weight of mothers and children participated in the study were also measured. The role of parental and child social and demographic factors and child feeding practices in predicting children's diet was assessed using multiple block entry linear regression. P value was adjusted by Beforerroni correction to account for multiple comparisons (pc<.0002)

Results: The results showed a significant relationship in between some socio-demographic factors and feeding control practices with some aspects of the child's dietary intake.

Conclusion: To conclude, the results showed a significant relationship between some socio-demographic factors and feeding control practices with some aspects of the child's dietary intake. Higher education of parents is significantly associated with increase of healthy foods intake and decrease of unhealthy snacks. The boys eat more unhealthy snacks and mothers's job inversely influence on some aspect of child's diet.