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Health literacy

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Health Literacy Assessment Of Government School Teachers Of District Attock

By:
DR MOAZZAM ALI KHAN
BSC.BDS.MSPH.

Published in: Health & Medicine
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Health literacy

  1. 1. HEALTH LITERACY ASSESSMENT OF GOVERNMENT SCHOOL TEACHERS OF DISTRICT ATTOCK A CROSS SECTIONAL STUDY PRESENTED BY: DR MOAZZAM ALI KHAN SUPERVISOR: DR SHAHZAD ALI KHAN
  2. 2. CONTENTS  INTRODUCTION  RATIONALE  AIM & OBJECTIVES  METHODOLOGY  RESULTS  RECOMMENDATIONS/ ENABLING FACTORS
  3. 3. INTRODUCTION 1. LITERACY IS ABALITY TO  Read  Write  Use numbers  Handle information  Express ideas and opinions  Make decisions  Solve problems
  4. 4. HEALTH LITERACY  Health literacy defined as ” Health literacy is the ability to obtain, read, understand and use healthcare information to make appropriate health decisions and follow instructions for treatment”  A person has advanced literacy skills their ability to obtain, understand and apply health information in a specific health context may be poor TYPES  General health literacy  Conceptual health literacy  Functional health literacy
  5. 5. WHY HEALTH LITERACY In the public health perspective the Health literacy is very important to combat the upcoming challenges in health care system  Access to health care services, use of services  Self care of chronic conditions  Active role in health care Decision and management  Maintenance of health and wellness
  6. 6. HEALTH LITERACY AND SCHOOL SETTINGS  Schools are essential in achieving health literacy  The school is a fundamental institution in building the wealth and health of countries,  Schools throughout the world contribute to the achievement of public health goals
  7. 7. TEACHERS HEALTH LITERACY IN SCHOOL SETTINGS  Teacher’s abilities and knowledge regarding health.  Understand the severity of health issues.  Teacher’s behavior regarding its own health.  Use of knowledge of health and transform to students  Resources regarding health information drives.  socioeconomic and demographic awareness of students of school  Equal attention should be given to teachers own health literacy.
  8. 8. RATIONALE  Health literacy of teachers is an important aspect in school sittings. Equal attention should be given to teacher health literacy. The capacity of teachers to obtain, interpret, and understand basic health information and services, more it would be beneficial for students. Survey will enable us to understand the level of health literacy in teachers and helps in designing of further interventions to increase the literacy level
  9. 9. AIM & OBJECTIVES  Aim To improve the health literacy of teachers to promote health education  Objectives 1- To assess the current health literacy level in school teachers of district Attock. 2- To explore the factors (demographic, functional, social and economic and personal health information) related to health literacy of teachers of District, Attock.
  10. 10. METHODOLOGY  Study Design: a cross sectional study  Study Area: Attock ,Punjab  Study Population: Government school teachers  Duration of Study: Two (02) months  Sampling technique: simple random sampling  Sample Size: sample size 295 + 10%=325 questionnaire were prepared to  for data collection but only 290 return filled
  11. 11.  Data Collection:  Quantitative  Data collection tool:  health literacy survey Asia tools of assessment a project Taipei medical university, Taiwan Data Analysis tool  Microsoft excel .SPSS 20
  12. 12. Data analysis method  descriptive analysis of variables  Health literacy indices health literacy indices is based on the European health literacy survey (HLS-EU) indices  Formula for indices is Index = (mean - 1) * (50/3)  Scale is between 1-50 for convenient calculations of literacy level  Correlations analysis. Spearman’s rho Correlation is used for analysis of association of several economic factors.  Relation between health literacy, and gender the Chi square test is applied  95% confidence interval with a significance level of p-value <0.05 is used for all analyses.
  13. 13.  INCLUSION CRITERIA.  Male and female Government school teachers of district Attock whether they are permanent employ or temporary. Those who will accept the inform consent and have a will for contribution  EXCLUSION CRITERIA. Those who will absent at that day in school
  14. 14. Questionnaire health literacy survey Asia tools of assessment a project Taipei medical university, Taiwan Part 1 – Demographics Part 2 – Health Literacy Part 3 – Personal Health Information Part 4 – Social and Economic Information
  15. 15. ATTOCK FATEH JANG HASSAN ABDAL HAZRO JUND PINDI GHEB 13.3 22.8 9 11.8 24.1 19 18.1 17.03 10 14.2 21.4 16.7 14 17.25 13.78 10.35 27.58 17.25 QUESTIONNAIR DISTRIBUTION ACCORDING TO AREA, TEACHERS AND INSTITUTIONS INSTITUTIONS TEACHERS sample
  16. 16. Health Literacy Acess,obtain Information Relevant To Health Understand Information Relevant To Health Process,appraise Information Relevant To Health Apply, use Information Relevant To Health HEALTH CARE ABALITY TO ACESS HEALTH INFORMATION ABALITY TO UNDERSTAND HEALTH INFORMATION ABALITY TO INTERPRATE HEALTH INFORMATION ABALITY TO APPLY HEALTH INFORMATION DISEASE PREVENTION RISK FACTORS RISK FACTORS RISK FACTORS RISK FACTORS HEALTH PROMOTION UP DATE ONSELF ON HEALTH ISSUES HEALTH ISSUES HEALTH ISSUES APPLY PROMOTIONAL ACTIVITIES
  17. 17. RESULTS
  18. 18. RELABILITY ANALYSIS OF DATA.  For internal consistency estimate of data and reliability of score the Cronbach's alpha test is applied on health literacy segment of data Reliability statistics Cronbach’s Alpha Cronbach’s Alpha On standardized items .945 .946
  19. 19. variables Number of participant Percentage Gender Female 165 56.89% Male 125 43.10% Marital status Not married/ Separated/Divorced/ Widowed 91 32.4% Married 199 68.8 % Education matric 2 7% University/College and above 63 21% Master’s degree 225 77% Data analysis demographic part
  20. 20. Ability to pay for medication Very difficult 18 6% Fairly difficult 63 21% Fairly easy 102 34% Very easy 52 20% Self-perceived health status Very Bad Bad 3 1.0% Fair 94 32.4 % Good 140 48.3 % Very good 53 18.3 %
  21. 21. Long-term illness Yes more than one 14 4.8% Yes one 45 15.7 % No 299 79.0 % Limitation related to health problems No 98 33.8% Yes 171 59% Times to visit DOCTOR over past 12 months No 108 36.6 % 1-2 times 120 42.1 % 3-5 times 24 8.6 % 6 times and more 12 4.5 %
  22. 22. Times to visit DENTIST over past 12 months No 210 71.2 % 1-2 times 30 10.7 % 3-5 times 27 9 % 6 times or more 6 1.7 % Smoking status Never 30 90% At present time 3 3 %
  23. 23. 0 1-2 TIMES 3-5 TIMES 6 TIMES D,NT KNOW /REFUSE A Had to contact the emergency service in the last 2 years 80.3% 5.9% 2.4% 11.4% 2% B Been to the DOCTOR in the last 12 months 36.6% 42.1% 8.6% 4.5% 8.3% C Been to the DENTIST in the last 12 months 72.4% 10.7% 9 % 1.7% 6.2% D Been to the HAKEEM in the last 12 months 76.6% 13.8% 2.1% 3.1% 4.5% E Used a hospital service in the last 12 months? 64.5% 21.7% 2.4% 7.2% 4.1% F Used service from other health professionals, in the last 12 months 53.1% 37.2% 9.7% G Raised a question during your doctor appointment? 44.1% 26.9% 12.4% 7.9% 8.6%
  24. 24. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% PARENTS AND GRANDPARENTS DISEASE Series 1
  25. 25. TREND OF REFRESHERS COURSES 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Often Some time Rarely Never education cources health cources
  26. 26. MEDICAL RELATED TV PROGRAMS Often 13.8% Sometimes 41.7% Rarely 19.3% Never 25.2%
  27. 27. INFORMATION THROUGH INTERNET Often 13.1% Sometime 30.3% Rarely 22.%8 Never 33.8%
  28. 28. COMPARING YOURSELF TO OTHER PEOPLE IN YOUR AGE AND GENDER
  29. 29. SPOUSE AND OWN INCOME GRAPH. 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% less then 35000 pkr above then 35000 pkr no answer own incom spouse incom
  30. 30. MEDICAL BILLS AND DOCTOR VISIT. Very easy Fairly easy Fairly difficult Very difficult Pay for medication if needed to manage your own health? 20 % 34 % 21 % 06 % Are you able to afford to see the doctor in regard to time, 16 % 24 % 29 % 10 %
  31. 31. 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% BALANCE BETWEEN HEALTH AND WORK Series 1
  32. 32. HEALTH LITERACY INDICES  To standardize the health literacy survey results construct a health literacy indice.health literacy indices is based on the European health literacy survey (HLS-EU) indices .linkert scale is used for answering the health literacy questions the higher value of answer very easy is 4  Scale is between 1-50 for convenient calculations of literacy level.  Formula for indices is   Index = (mean - 1) * (50/3)   Index = specific calculation  Mean = mean of each individual each item  1 = minimum possible value of mean 3 = range of mean  50 = maximum value of scale
  33. 33. Health Literacy 47 Questions Acess,obtain Information Relevant To Health (13) Understand Information Relevant To Health (11) Process, appraise Information Relevant To Health (12) Apply, use Information Relevant To Health (11) HEALTH CARE 16 QUESTIONS ABALITY TO ACESS HEALTH INFORMATION (4) ABALITY TO UNDERSTAND HEALTH INFORMATION (4) ABALITY TO INTERPRATE HEALTH INFORMATION (4) ABALITY TO APPLY HEALTH INFORMATION (4) DISEASE PREVENTION 15 QUESTIONS RISK FACTORS (4) RISK FACTORS (3) RISK FACTORS (5) RISK FACTORS (3) HEALTH PROMOTION 16 QUESTIONS UP DATE ONSELF ON HEALTH ISSUES (5) HEALTH ISSUES (4) HEALTH ISSUES (3) APPLY PROMOTIONAL ACTIVITIES (4)
  34. 34. 0 5 10 15 20 25 30 35 40 45 50 Health Care Disease Prevention Health Promotion Health literacy general Health Care Disease Prevention Health Promotion Health literacy general Inadequate HL score 1-25 Problematic HL score 25-33 33 30 33 Sufficient HL score 33-42 35 Excelent HL score 42 -50 DISTRIBUTION OF HEALTH LITERACY ON HEALTH LITERACY INDICES
  35. 35. RELATIONSHIP BETWEEN GENDER AND HEALTH LITERACY.  From the top row of the table of Chi-square test, Pearson Chi-Square statistic, the probability of the chi-square test statistic (chi-square=167.618) was p=0.000, less than or equal to the alpha level of significance of 0.05.Therefore, the null hypothesis(Ho=female gender is not associated with health literacy) is rejected. That means alternative hypothesis (Ha= female gender is associated with health literacy) is accepted and supported by this analysis. Variables Value df Asymp. Sig. (2- sided) Pearson Chi-Square 167.618a 52 0.000 Likelihood Ratio 223.675 52 0.000 N of Valid Cases 290
  36. 36. CORRELATIONS ANALYSIS  Spearman’s rhoCorrelation is used for analysis of association of several economic factors is done  Spearman’s rho Pay for medication Affordability to doctor Payment of utility bills income Pay for medication 1 .820** .462** _0.25 Affordability to doctor 1 -4.52 -0.42 Payment of utility bills 1 0.79 Income 1 Correlation is significant at the 0.01 level (2-tailed).*
  37. 37. RECOMMENDATIONS/ ENABLING FACTORS  Monitoring an evaluation of teachers health literacy  Health and education courses should be mandatory for teachers during their carrier  Public health campaign or at least one week in a year should be introduced in school by the coordination of health and education ministries.  Social media can play far better role in this field
  38. 38. THANK YOU

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