Public Health Review: International Journal of Public Health Research 2022-01-01T23:45:55+0530 Dr D Sharad Gedam Open Journal Systems <p style="text-align: left;"><em><strong>ISSN: <a href="" target="_blank" rel="noopener">2349-4166 (Online)</a>, <a href="" target="_blank" rel="noopener">2349-4158 (Print)</a></strong></em></p> Socioeconomic inequality of catastrophic health expenditure in Manipur 2022-01-01T23:40:08+0530 Moirangthem Hemanta Meitei Haobijam Bonny Singh Kh. Jitenkumar Singh <p><strong>Background:</strong> The incidence of catastrophic health expenditure (CHE) is one of the indicators for monitoring the performance of a health system in protecting the financial hardship after availing the service. Further CHE has also raised the issue of equity.</p> <p><strong>Aim &amp; Objective:</strong> To explored the determinants of CHE and also to measure the extent and contribution of socioeconomic factors in CHE in Manipur.</p> <p><strong>Settings and Design</strong>: Manipur is a small hilly state located in the north-eastern region of India. The health expenditure in Manipur as part of the GSDP is very low and stands at 2.79%. This has made rapid growth and expansion of private health care in the state. A cross –section study of primary data of 200 households consisting of 1130 individuals reporting hospitalization during the last 365 days (during 2016) were identified and surveyed.</p> <p><strong>Methods and Material:</strong> The incidence of CHE was defined when total health expenditure exceeds 10% of the total household expenditure. The OLS regression has been adopted to identify the significant factors of CHE. Concentration index and decomposition analysis are used to measure the degree of socioeconomic inequality and its contributing factors respectively in Manipur.</p> <p><strong>Results: </strong>The results show that the wealth index, economic crunch (p=0.022), type of disease (Neoplasm (p&lt;0.01) &amp; Genitourinary (p&lt;0.05), the total number of episodes (p&lt;0.05) and duration of stay in hospital (p&lt;0.05) are found to be the significant factors in determining CHE. The concentration index and decomposition analysis indicate that the wealth index plays a vital role in socioeconomic inequality in CHE.</p> <p><strong>Conclusions: </strong>The study reveals that the CHE mainly concentrates among the poor household and intervention of health protection schemes should mainly be focused among the socially as well as economically backward households.</p> 2021-12-30T00:00:00+0530 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society Prevalence of diabetic peripheral neuropathy using Michigan Neuropathy Screening Instrument (MNSI) in an urban population, in India 2022-01-01T23:45:55+0530 Vasanthakumar Jambulingam <p><strong>Background:</strong> Diabetes mellitus (DM) is a major public health problem worldwide. Diabetic peripheral neuropathy (DPN) is a microvascular complication of type 2 diabetes mellitus attributed to chronic hyperglycemia and is defined as the presence of symptoms and / or signs of peripheral nerve dysfunction in people with diabetes after exclusion of other causes. The study was conducted with the objective to estimate the prevalence of diabetic peripheral neuropathy and to identify its determinants among type 2 diabetic patients in an urban population. <strong>Methods: </strong>This cross sectional study was conducted among patients attending Urban Health Centres of Ashok Nagar and Rukmini Nagar, Belagavi in Karnataka State over a period of four months (August – November 2019). A total of 250 patients with more than 6 months duration of type 2 diabetes mellitus were screened using questionnaire version of Michigan Neuropathy Screening Instrument (MNSI) after obtaining written informed consent from them. <strong>Results: </strong>The overall prevalence of DPN among study participants based on MNSI was 35.2% (88). Based on MNSI assessment, 21.6% and 29.2% of the participants had a score of ≥ 7 in the history section of the questionnaire and ≥ 2.5 in the physical examination section, respectively. The prevalence of DPN was significantly higher among those with age more than 50 yrs and those with history of either tobacco or alcohol consumption. The prevalence of DPN was also found to be higher among patients with HBA1c ≥ 7% and those with duration of DM &gt;10 years. The multivariate logistic regression analysis showed that DPN was significantly associated with age more than 50 years [Odds Ratio: 1.628 (CI: 1.006 – 2.635)]. <strong>Conclusions: </strong>Use of MNSI as a screening tool in the primary health care setting could be a cost effective means for early detection of DPN and to prevent diabetic foot ulcerations and infections.</p> 2021-12-31T00:00:00+0530 Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society