proposed study

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Health Seeking Behavior Of Street

Children In Jaipur City

Presented by :Achint Kumar

Ashish TripathiDikshita khandujaHimanshi choudharyJaidev khatri

Manisha Narang


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g

Introduction

Problem statement Review of literature Rationale

Research questions Research objectives Research methodology Tool and techniquesActivity plan Budget Ethical consideration Limitations

Content


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Introduction

In India there are 11 million street children ,which are the10% of worlds total population of street children.(UNICEF2007)

Despite efforts by the government and many NGOs, thenumber does not diminish and it is growing continuously.

Jaipur city is selected for the study as it forms the focal

point of massive in-migration(within Rajasthan) leading tothe swelling population of street children.


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Who are street children ?Any boy or gir l who has not reached adulthood, for whom the

street has become his or her habitual abode or l ivel ihood and

who is inadequately protected , supervised or directed by

responsible adul ts -By UNICEF

Street children

Children onthe street

Children of thestreet

Abandonedchildren

Street children can be put under three categories:


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65.9% of the street children lived with their familieson the streets.

52%

17%

31% on footpath

in nightsheltersother places

other places includes under flyovers and bridges,railway platforms, bus stops, parks, market places.

Source:UNICEF 2007


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Careless attitude of street children towards their healthand lack of motivation to avail health care services.

Problem statement


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Review of Literature:

Study by Zena Amury and Anitha Komba

This study was carried out in the three districts of Dar-es salam , Tanzania.

It briefs about the poor utilization of health services bythe street children. The study discusses Tanzania'sNational Health Policy with a focus on access to healthcare and also vulnerability of street children to diseases.Findings of the study reveal that street childrenfrequently experience illnesses, injuries ,headaches etc.In addition, they also complained about the unfriendly

behavior in public health care centers.


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Assess to healthcare by street children in the urban

context of N'djamena

By- K.Wyss,L.Nodjadjim

This study tells about the frequent illness episodes that

street children are confronted with and also identifies theassociation of their illness with their living conditions andbehaviors adopted by them.

As per the study, the consumption of unsanitary water,hygienic condition, food , violence, alcohol and drugs havedisastrous consequences on the health status of the children


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This study focuses on STI infected children and those who are at

risk.Its a cross sectional study conducted among 326 children. Findings

reveals that almost half of the children had a history of having sex

and were the victims of STI.All of them had the history of seeking

Treatment irregularly and incompletely.

Moreover the majority seeks treatment at public facilities where

though the cost of treatment is less, the behavior of the staff is

often unsatisfactory and the children feel stigmatized and ashamed.

Al these factors compel them to seek treatment either from

chemist ,quakes or unqualified allopathic doctor

STI profile and treatment seeking behavior of Street children in

Surat.

By-Asst Professor, Professor and head of Dept of community

medicine, Surat Municipal Institute of Medical education andResearch.


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Health-Seeking Challenges Among Homeless Youth.

by Angela L. Hudson et al (Hudson A.L, Nyamathi A, Greengold B,

Slagle A, Griffin DK, Khalilifard F).

Study reveals that root cause for not availing health facilities

among homeless youth was scarcity of service sites and long

waiting time for the service. Beside that some other factor are

also playing important role like discrimination by the serviceprovider and a pervasive sense of stigma.


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Psychological help-seeking in homeless adolescents.

By-Collins P, Barker C

A study conducted by Collins and Barker on homeless

adolescents shows that perceived betrayal by their

families made many participant reluctant to seek helpfrom others. But many of them also shows that they are

ready to take help from others if they are perceived to

be genuine, caring, trustworthy, empathic and capable of

containing their distress.


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Illness incidence and health seeking behaviour among

street children in Rawalpindi and Islamabad, Pakistan

(- a qualitative study. Child Care Health Development)Ali M, de Muynck A.

Another study conducted in Rawalpindi, Pakistan shows

that the main cause of not using health services arelong waiting time, monetary problem, negative attitude

of service providers and their inferior status.


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Rationale:

Population of street children in India is very high, that is

11 million.(UNICEF report 2007)

They have careless attitude towards their health.They are not motivated enough to seek health careservices.Not enough data is available on their health status.

Not any specific National program is available to catertheir health needs.


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Research Questions:

What are the factors/constraints that prevent

street children to use health care services?


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To explore the perceptions of street children of Jaipur

regarding their illness ,their health care seeking

behavior.

To identify the obstacles in accessing the health care

services by street children.

Research Objective:


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Research Study Design: Descriptive, cross-sectional

Study Place in Jaipur:

Jawahar Nagar slum areas

Mansarovar slum areas

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Methodology:


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Sampling Technique:

Multistage Sampling procedure

Cluster sampling

Systematic sampling

Selected Sample :

We will try to make sample size as large as possible

within the time frame or we will continue the study till

we get the point of redundancy,ie no new data comesup any more.

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Sampling:


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Data collection methods :-

Tools: Interview and FGDs guideline

Techniques: In-depth Interviews

Focus Group Discussions

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Tools and Techniques


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HealthSeeking

Behaviour

Economic

Literacy

Attitude

Parental

Negligence

Abuse

Migration

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Variables


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Activity

Week

1 2 3 4 5 6 7 8 9 10 11 12Discussion

Review Litrature

Selection of Area point

Formulate Tool

Pre-TestingFinalization of tools

Field Movement Plan

Selection of Investigators

Training of Investigators

Data CollectionAnalysis Plan

Data Entry and Cleaning

Data Analysis

Report Writing

Action Plan


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Quantity Monthly

expense ( Rs )

Total ( Rs )

Furnished Office - 7,000 21,000Computer 2 20,000 40,000

Phone/Internet - 3,000 9,000

Stationary 1,000 3,000

Travelallowance

3,000 9,000

TOTAL COST 82,000

Office Administration

Cost

Budget


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Personnel Number No of

Months

Salary/mo

nth

Total (Rs)

Project

coordinator

1 3 30,000 90,000

Research

Officer1 3 20,000 60,000

Statistical

analyst1 1 15,000 15,000

Field

Supervisor1 1 13,000 13,000

Investigators 3 1 10,000 30,000Data entryoperator

1 1 8,000 8,000

Class IV 2 3 3,000 18,000

TOTAL COST - - 2,34,000


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Activity Total cost

Training cost 10,000

Miscellaneous 5,000TOTAL 15,000

Activities Total

Human Resource 2,34,000

Office administrative

cost

82,000

Other direct cost 15,000

Sum Total 3,31,000


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The information gathered will be kept confidential

and will not be released to anyone.

The information about the key informants shall notbe disclosed

Data provided shall be used only for the purpose ofresearch in Public Health Sector.

2406 March 2012

Ethical Consideration


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Limitations of study:

Some children might be scared to be interviewed by

strangers(researchers).

At times, children can be reluctant to discuss their

experiences.

Participation will be voluntary for children they can

withdraw from participation at any time.


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Refrences:

Hudson A.L, Nyamathi A, Greengold B, Slagle A, Griffin DK, Khalilifard F. Health Seeking

Challenges Among Homeless Youth.Nurs Res. 2010 ; 59(3): 212218Collins P, Barker C. Psychological help-seeking in homeless adolescents. Int J Soc Psychiatry.2009 July;55(4):372-84Ali M, de Muynck A. Illness incidence and health seeking behaviour among street children inRawalpindi and Islamabad, Pakistan - a qualitative study. Child Care Health Dev. 2005Sep;31(5):525-32

Patel N.B,Bansal R.K. STI Profile and treatment seeking behaviour of street children in Surat.National Journal of Community Medicine 2010, 1(1):12-16Amury Z,Komba A.Coping strateties used by street children in the event of illness. REPOPA,Research Report 10/1.K. Wyss, L. Nodjadjim. Access to health care by street children in the urban context ofN'DJAMNA, CHAD.

UNICEF report 2007


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proposed study

Documents