A Cross Sectional study on Prevalence of the Common Ear Problems Among Government Primary School Children in Kancheepuram Block of Kancheepuram District, Tamil Nadu-2012.

Getrude Banumathi, P (2013) A Cross Sectional study on Prevalence of the Common Ear Problems Among Government Primary School Children in Kancheepuram Block of Kancheepuram District, Tamil Nadu-2012. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTRODUCTION : Ear is one of the sense organs in the human body which plays a vital role in The over all development of an individual. Auditory sense is particularly important Sense, as it allows us to communicate with external world. The ear diseases can cause Discomfort or hearing impairment which interferes with communication skills and Productivity of an individual. In children such a problem may result in poor Development in speech, language, education, listening capacity and many Psychosocial problems which can hinder the overall development of an individual. Hearing impaired children and adults are often stigmatized and socially isolated1. Ear problems and hearing impairment are important community health Problem among school children especially in developing nations. About 50% of ear Diseases occur among the paediatric age group below 15 years and complications are High in this age group. WHO also stated that ear diseases to be considered as public Health problems when the prevalence of CSOM among paediatric age group is more Than 4% and recommended need for appropriate screening programs of school Children for early detection of ear diseases and hearing impairment to prevent psycho Social consequences. OBJECTIVES : 1) To estimate the prevalence of common ear problems among Government Primary school children in Kancheepuram Block. 2) To estimate the prevalence of associated factors with ear problems among the Study population. JUSTIFICATION : 1. WHO says at least 80% of the ear problems are reported from the developing Countries. Similarly, the prevalence of hearing impairment is also high among the developing nations causing serious public health problems. 2. At least 50% of the ear problems occur among the pediatric age group. 3. WHO has indicated that the prevalence rate of Chronic Suppurative Otitis Media ( CSOM ) is greater than 4% in a defined population of children is an indication of major public health problem requiring urgent and specific attention. 4. Serious consequences like hearing impairment, complications due to otitis media and psychosocial problems which in turn impose heavy burden to individual, family, community and the country. 5. A large percentage can be treated through early diagnosis and suitable management. 50% of all ear diseases are preventable (13) by primary prevention. 6. School Children are easily accessible and Ear diseases picked up among them can be subjected to easy and continuous monitoring and follow up. School survey is very useful parameter to screen more number of children for a particular age group. 7. Government primary school children, because of their low socio economic status and living conditions are more prone to ear problems than the private school children. 8. Around 70% of people live in rural area in Tamil Nadu. Still the rural area has its own drawbacks like inaccessibility to specialist care, poor socio economic status 9. After exhaustive review literature Very few published studies are available in India and Tamil Nadu. SUMMARY : This was a cross-sectional study carried out in 18 selected government primary schools in Kancheepuram block of Kancheepuram district, Tamilnadu to find out the prevalence of common ear problems among children (Ist standard to Vth standard), prevalence of risk factors associated with ear problems and to find out the association of ear problems with socio demographic characteristics, personal hygiene, consanguineous marriage, family members suffering from ear problems, recurrent respiratory tract infections, snoring (due to adenoid enlargement),allergic rhinitis, passive smoking and house hold smoke. This study establishes the fact that the prevalence of ear problems and hearing impairment are high in Government primary school children. To overcome these problems communities need to be made more aware of symptoms related to ear problems, personal hygiene, and ear hygiene, so that care at primary level can be initiated. By WHO guidelines regular screening of primary school children for ear problems and hearing impairment should be done. All the primary health care staffs should be trained well to diagnose and treatment of ear problems.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Prevalence ; Common Ear Problems ; Government Primary School Childlren ; Kancheepuram ; Cross Sectional study.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 12 Jul 2017 05:41
Last Modified: 12 Jul 2017 05:41
URI: http://repository-tnmgrmu.ac.in/id/eprint/1186

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