South Asia (South Asian Association for Regional Cooperation [SAARC] countries)
Oxford University Press eBooks,
Год журнала:
2025,
Номер
unknown, С. 92 - 112
Опубликована: Фев. 1, 2025
Abstract
This
chapter
deals
with
mental
health
challenges
in
care
of
older
persons
South
Asia.
With
the
demographic
transition,
most
people
live
developing
world.
Around
two
thirds
adults
Asia
reside
rural
areas.
Older
age
is
associated
medical
illnesses,
impairment,
and
frailty.
Co-existing
disorders
have
a
big
impact
on
physical
illness.
Social
cultural
issues
like
stigma,
agism,
barriers
are
major
hurdles
that
can
give
rise
to
abuse
adults.
In
addition,
shortage
trained
professionals
inadequate
geriatric
clinics
add
problem.
Although
standard
assessment
tools
available
some
countries,
these
could
be
improved
by
local
adaptation
validation.
Epidemiology
for
nearly
non-existent
only
countries.
Existing
policies,
programmes,
laws
need
strengthened
made
easily
accessible
everywhere.
Mental
should
provisions
Spending
national
bodies
this
area
less
than
1%
____which
reflects
more
work
done.
Family
support
forms
backbone
social
provides
high
value
so
families
supported
their
caring
role.
Education
about
later
life,
improving
training
healthcare,
providing
facilities
will
pave
way
understanding
challenges.
Challenges
must
addressed
at
primary
level
incorporated
policies.
promotion
research
advocacy
help
bridge
existing
gaps.
Язык: Английский
ABO/rhesus D blood systems and health indices: a preliminary study to find an association among healthy dwellers of Anuradhapura, Sri Lanka
BMC Research Notes,
Год журнала:
2025,
Номер
18(1)
Опубликована: Апрель 9, 2025
Finding
an
association
between
blood
groups
and
diseases
would
help
prevention,
early
identification,
treatment
of
diseases.
The
preliminary
study
aimed
to
find
ABO/rhesus
D
systems
health
indices
among
healthy
dwellers
the
Nuwaragampalatha
East
Medical
Officer
Health
area
Anuradhapura,
Sri
Lanka.
A
total
100
participants
were
recruited.
group
in
Driving
License
(67%),
Pregnancy
Record
(17%),
Blood
Donation
Card
(11%),
Laboratory
Report
(03%),
Old
Boy
Identity
(01%),
Service
(01%)
matched
laboratory
grouping
all
participants.
O
had
significantly
fewer
hours
sleep
per
day
(P
=
0.03)
narrower
pulse
pressure
0.02)
than
non-O
group.
Also,
+
<
0.01).
Evidence
literature
is
scarce
support
these
findings.
Future
large-scale
studies
patient
populations
are
necessary
for
confirmation.
Язык: Английский
Major depression among pregnant women attending a tertiary teaching hospital in Northern Uganda assessed using DSM-V criteria
BMC Pregnancy and Childbirth,
Год журнала:
2025,
Номер
25(1)
Опубликована: Апрель 26, 2025
Abstract
Background
Major
depression
(MD)
during
pregnancy
complicates
maternal
and
neonatal
outcomes.
Despite
its
significant
impact,
there
is
a
lack
of
evidence
on
the
prevalence
associated
factors
MD
among
pregnant
women
in
Uganda.
We
assessed
magnitude
with
attending
antenatal
care
(ANC)
at
large
teaching
hospital
Northern
Methods
Between
June
August
2023,
we
enrolled
aged
18
years
or
older
ANC
clinic
Gulu
Regional
Referral
Hospital
Data
were
collected
using
validated
semi-structured
questionnaire.
was
evaluated
DSM-V
criteria
defined
as
having
(1)
least
two
weeks
either
persistent
low
mood
excessive
sadness,
(2)
plus
additional
symptoms
from
diagnostic
criterion
A,
for
total
five
symptoms,
(3)
caused
distress
problem
significantly
altered
behaviour
functionality.
Modified
Poisson
regression
analyses
robust
standard
errors
constructed
to
evaluate
independently
major
depression.
Adjusted
ratio
(aPR)
whose
95%
confidence
interval
(CI)
did
not
include
null
value
(0)
p
<
0.05
considered
statistically
significant.
Results
329
participants,
mean
age
26.1±
5.5
years.
Overall,
29.8%
(
n
=
98)
had
MD;
37
(11.2%)
mild,
49
(14.9%)
moderate,
12
(3.6%)
severe
MD.
Having
co-wife
(aPR:
1.64,
CI:1.09–2.45,
0.016),
an
arranged
marriage
1.56,
CI:
1.02–2.42,
0.042),
partner’s
income
second
quartile
2.14,
1.29–3.54,
0.003),
experiencing
physical
violence
1.75,
1.09–3.81,
0.019),
controlling
behaviours
partner
3.60,
1.79–7.26,
0.001),
planned
0.53%,
955
0.35–0.81,
0.003)
Conclusion
Depression
affects
nearly
one-third
more
prevalent
co-wives,
marriages,
unplanned
pregnancies,
partners
income,
who
experienced
partner.
These
findings
highlight
urgent
need
targeted
interventions,
including
prevention,
screening,
treatment
services
within
Antenatal
Care
clinics.
Implementing
such
measures
crucial
improving
maternal,
foetal,
health
outcomes
region.
Язык: Английский
Prevalence and socio-demographic correlates of depression and anxiety among late adolescents (15 to 21 years) in Mymensingh division, Bangladesh: A cross-sectional study
PLoS ONE,
Год журнала:
2025,
Номер
20(4), С. e0320505 - e0320505
Опубликована: Апрель 29, 2025
Background
Depression
and
anxiety
are
prevalent
mental
health
disorders
among
adolescents
worldwide,
including
Bangladesh.
However,
often
overlooked
in
developing
countries
like
This
study
aims
to
assess
the
prevalence
of
depression
anxiety,
as
well
socio-demographic
factors
that
contribute
these
conditions,
late
aged
15–21
Mymensingh
division,
Methods
cross-sectional
was
conducted
400
division
The
used
a
structured
questionnaire
collect
sociodemographic
lifestyle-related
information
from
respondents.
included
PHQ-9
GAD-7
scales
Descriptive
statistics,
chi-square
tests,
ordinal
logistic
regression
were
performed
statistical
analyses
this
study.
Results
overall
47.8%
(33.5%
moderate,
10.5%
moderately
severe,
3.8%
severe
depression),
32.8%
(31%
moderate
1.8%
anxiety).
Across
most
factors,
higher
adolescent
boys.
Individuals
19–21
likely
experience
anxiety.
found
unmarried
adolescents,
mobile
phone
users,
rural
those
whose
parents
had
no
formal
education
more
than
their
counterparts.
revealed
fathers
2.77
times
(95%
CI
=
1.21–6.35,
p
<
0.05).
Besides
be
associated
with
who
businessmen
(OR
1.95;
95%
1.02–3.72,
0.05),
day
laborers
0.41;
0.20–0.82,
0.05)
living
0.05;
0.01–0.24,
<.000).
Anxiety
is
0.15;
0.03–0.75,
family
savings
0.42;
0.23–0.78,
0.06;
0.01–0.22,
Conclusions
findings
emphasize
importance
screening
individuals
for
depressive
disorder
symptoms
reduce
adolescents.
In
addition
screening,
policymakers
should
incorporate
policies
increase
access
services
promote
community.
Язык: Английский
Morbidity profile and pharmaceutical management of adult outpatients between primary and tertiary care levels in Sri Lanka: a dual-centre, comparative study
BMC Primary Care,
Год журнала:
2024,
Номер
25(1)
Опубликована: Июнь 6, 2024
Abstract
Background
Outpatient
care
is
central
to
both
primary
and
tertiary
levels
in
a
health
system.
However,
evidence
limited
on
outpatient
differences
between
these
levels,
especially
South
Asia.
This
study
aimed
describe
compare
the
morbidity
profile
(presenting
morbidities,
comorbidities,
multimorbidity)
pharmaceutical
management
(patterns,
indicators)
of
adult
outpatients
department
(OPD)
Sri
Lanka.
Methods
A
comparative
was
conducted
by
recruiting
737
visiting
facility
Kandy
district.
self-administered
questionnaire
data
sheet
were
used
collect
prescription
data.
Following
standard
categorisations,
Chi-square
tests
Mann‒Whitney
U
employed
for
comparisons.
Results
cohorts
predominated
females
middle-aged
individuals.
The
median
duration
presenting
symptoms
higher
OPD
(10
days,
interquartile
range:
57)
than
(3
12).
most
common
systemic
complaint
respiratory
(32.4%),
whereas
it
dermatological
(30.2%)
care.
self-reported
prevalence
noncommunicable
diseases
(NCDs)
37.9%
(95%
CI:
33.2–42.8)
33.2%
28.5–38.3)
care;
individual
disease
significant
only
diabetes
(19.7%
vs.
12.8%).
multimorbidity
19.0%
15.3–23.1),
while
15.9%
12.4–20.0)
Medicines
per
encounter
at
(3.86,
95%
3.73–3.99)
that
(3.47,
3.31–3.63).
highest
constitutional
settings.
Overall
prescribing
corticosteroids
(62.7%),
vitamin
supplements
(45.8%),
anti-allergic
(55.3%)
anti-asthmatic
(31.3%)
drugs
OPD,
two
former
did
not
match
profile.
proportion
antibiotics
prescribed
differ
significantly
OPDs.
Subgroup
analyses
drug
categories
largely
followed
overall
differences.
Conclusions
morbidities
OPDs
differed
type
but
terms
or
comorbidities.
Pharmaceutical
also
varied
medicines
categories.
supports
planning
healthcare
provides
directions
future
research
Язык: Английский
Psychiatry, caught in the web of the internet
L. Amarakoon,
Roshini Fernando
Sri Lanka Journal of Psychiatry,
Год журнала:
2024,
Номер
14(2), С. 82 - 85
Опубликована: Апрель 19, 2024
No
abstract
available
Язык: Английский
Public Health System of Sri Lanka
Routledge eBooks,
Год журнала:
2024,
Номер
unknown, С. 349 - 360
Опубликована: Июль 9, 2024
Sri
Lanka
has
been
recognized
as
a
high-impact,
low-cost
health
system
among
low-
and
middle-income
countries,
especially
within
the
region.
However,
demographic
shift,
disease
burden
shrinking
fiscal
space,
workforce-related
challenges
have
looming
large.
The
most
recent
debt
crisis,
which
led
to
public
outcry
in
2022,
marked
turning
point
Lanka,
crippling
country's
system.
Currently,
is
facing
workforce
essential
medicines
shortages,
other
challenges,
with
country
needing
take
urgent
measures
address
medicine
shortages.
will
also
need
prioritize
strengthening
on
policy
financing
aspects.
Язык: Английский
Identifying contextual barriers and facilitators in implementing non-specialist interventions for mental health in Sri Lanka: A qualitative study with mental health workers and community members
Cambridge Prisms Global Mental Health,
Год журнала:
2024,
Номер
11
Опубликована: Янв. 1, 2024
Non-specialist
mental
health
interventions
serve
as
a
potential
solution
to
reduce
the
healthcare
gap
in
low-
and
middle-income
countries,
such
Sri
Lanka.
However,
contextual
factors
often
influence
their
effective
implementation,
reflecting
research-to-practice
gap.
This
study,
using
qualitative,
participatory
approach
with
local
workers
(n
=
9)
service
users
11),
identifies
anticipated
barriers
facilitators
implementing
these
while
also
exploring
alternative
strategies
for
reducing
this
context.
Perceived
include
concerns
about
effectiveness,
acceptance
feasibility
implementation
of
non-specialist
(theme
1).
The
participants'
overall
perception
that
are
beneficial
strategy
was
identified
facilitating
factor
2).
Further
relate
important
characteristics
3),
including
desirable
traits
occupational
backgrounds
may
aid
increasing
cadre.
Other
suggestions
reach,
intervention
4).
study
offers
valuable
insights
enhance
process
low-and
countries
Язык: Английский
Do fathers develop perinatal depression, anxiety, and stress? Cross-sectional findings from a study in Sri Lanka
Asian Journal of Psychiatry,
Год журнала:
2024,
Номер
103, С. 104332 - 104332
Опубликована: Ноя. 26, 2024
Язык: Английский
Morbidity profile and pharmaceutical management of adult outpatients between primary and tertiary care levels in Sri Lanka: A dual-centre, comparative study
Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 6, 2023
Abstract
Background
Outpatient
care
is
central
to
both
primary
and
tertiary
levels
in
a
health
system.
However,
evidence
limited
on
outpatient
differences
between
these
levels,
especially
South
Asia.
This
study
aimed
describe
compare
the
morbidity
profile
(presenting
morbidities,
comorbidities,
multimorbidity)
pharmaceutical
management
(patterns,
indicators)
of
adult
outpatients
department
(OPD)
Sri
Lanka.
Methods
A
comparative
was
conducted
by
recruiting
737
visiting
Divisional
Hospital
Katugastota
(primary
care)
National
Kandy
(tertiary
care).
self-administered
questionnaire
data
sheet
were
used
collect
prescription
data.
Following
standard
categorisations,
Chi-square
tests
Mann‒Whitney
U
for
comparisons.
Results
cohorts
predominated
females
middle-aged
individuals.
The
median
duration
presenting
symptoms
higher
OPD
(10
days,
interquartile
range:
52)
than
(3
12).
most
common
systemic
complaint
respiratory
(32.4%),
whereas
it
dermatological
(30.2%)
care.
self-reported
prevalence
noncommunicable
diseases
(NCDs)
37.9%
(95%
CI:
33.2–42.8)
33.2%
28.5–38.3)
care;
individual
significant
only
diabetes
(19.7%
vs.
12.8%).
multimorbidity
19.0%
15.3–23.1),
while
15.9%
12.4–20.0)
average
number
medicines
per
encounter
at
(3.86,
95%
3.73–3.99)
that
(3.47,
3.31–3.63).
Prescribing
corticosteroids
(62.7%),
vitamin
supplements
(45.8%),
antiallergic
(55.3%)
antiasthmatic
(31.3%)
drugs
OPD,
two
former
did
not
match
profile.
proportion
antibiotics
encountered
differ
significantly
OPDs.
Conclusions
morbidities
OPDs
differed
type
but
terms
or
comorbidities.
Pharmaceutical
also
varied
prescribed
categories.
supports
planning
provides
directions
future
research
Язык: Английский