Rohana Jani

Burden of Giardia duodenalis Infection and Its Adverse Effects on Growth of Schoolchildren in Rural Malaysia

Background Giardia duodenalis infection and malnutrition are still considered as public health problems in many developing countries especially among children in rural communities. This study was carried out among Aboriginal (Orang Asli) primary schoolchildren in rural peninsular Malaysia to investigate the burden and the effects of Giardia infection on growth (weight and height) of the children. Methods/Findings Weight and height of 374 children aged 7–12 years were assessed before and after treatment of Giardia infection. The children were screened for Giardia parasite using trichrome staining technique. Demographic and socioeconomic data were collected via face-to-face interviews using a pre-tested questionnaire. Overall, 22.2% (83/374) of the children were found to be infected with Giardia. Nutritional status of children was assessed and the results showed that the mean weight and height were 23.9 kg (95% CI = 23.3, 24.5) and 126.6 cm (95% CI = 125.6, 127.5), respectively. Overall, the prevalence of severe underweight, stunting and wasting were 28.3%, 23.8% and 21.0%, respectively. Multiple linear regression analyses showed sex, Giardia infection and household monthly income as the significant determinants of weight while sex and level of mothers education were the significant determinants of height. Weight and height were assessed at 3 and 6 months after treatment of Giardia infection. It was found that Giardia infection has a significant association with the weight of children but not with height. Conclusions/Significance This study reveals high prevalence of Giardia infection and malnutrition among Aboriginal children in rural Malaysia and clearly highlights an urgent need to identify integrated measures to control these health problems in the rural communities. Essentially, proper attention should be given to the control of Giardia infection in Aboriginal communities as this constitutes one of the strategies to improve the nutritional status of Aboriginal children.

Effects of Vitamin A Supplementation on Iron Status Indices and Iron Deficiency Anaemia: A Randomized Controlled Trial

Iron deficiency anaemia (IDA) is the most common nutritional deficiency in the world including developed and developing countries. Despite intensive efforts to improve the quality of life of rural and aboriginal communities in Malaysia, anaemia and IDA are still major public health problems in these communities particularly among children. A randomized, double-blind, placebo-controlled trial was conducted on 250 Orang Asli (aboriginal) schoolchildren in Malaysia to investigate the effects of a single high-dose of vitamin A supplementation (200,000 IU) on iron status indices, anaemia and IDA status. The effect of the supplement was assessed after 3 months of receiving the supplements; after a complete 3-day deworming course of 400 mg/day of albendazole tablets. The prevalence of anaemia was found to be high: 48.5% (95% CI = 42.3, 54.8). Moreover, 34% (95% CI = 28.3, 40.2) of the children had IDA, which accounted for 70.1% of the anaemic cases. The findings showed that the reduction in serum ferritin level and the increments in haemoglobin, serum iron and transferrin saturation were found to be significant among children allocated to the vitamin A group compared to those allocated to the placebo group (p < 0.01). Moreover, a significant reduction in the prevalence of IDA by almost 22% than prevalence at baseline was reported among children in the vitamin A group compared with only 2.3% reduction among children in the placebo group. In conclusion, vitamin A supplementation showed a significant impact on iron status indices and IDA among Orang Asli children. Hence, providing vitamin A supplementation and imparting the knowledge related to nutritious food should be considered in the efforts to improve the nutritional and health status of these children as a part of efforts to improve the quality of life in rural and aboriginal communities.

Midlife crisis perceptions, experiences, help-seeking, and needs among multi-ethnic malaysian women.

In the present study, researchers explored attitudes toward midlife crises, experience with midlife crises, help-seeking, and needs among multi-ethnic Malaysian women. A total of 14 focus group discussions were conducted with 89 Malaysian women of different ages and socioeconomic backgrounds. Women expressed concern over physical aging and decline in their physical functional health. Having a midlife crisis was frequently reported. Issues that were frequently reported to trigger a midlife crisis, such as empty nest syndrome, impact of aging on sexual and reproductive function, extended parenthood, caring for aging or ill parents, and career challenges were noted by the study participants (listed here in order of most to least frequently reporting of these themes across the group discussions). Overall, these issues were associated with attitudes about aging. A comparatively less open attitude toward sexual attitudes and help-seeking for sexual problems were found among the Malay and Indian women. This may imply that intervention to increase positive attitudes concerning both sexuality and help-seeking intentions should be culturally specific. The use of religious coping for comfort and consolation was frequently reported; therefore, those providing midlife crisis prevention and intervention programs should consider involving faith-based interventions in the Malaysian setting.

Knowledge of sexually transmitted diseases and sexual behaviours among Malaysian male youths

This study examines the knowledge of sexually transmitted diseases (STDs) among male youths in Malaysia. A self-administered survey was carried out on a sample of 952 never-married males aged 15-24 years. The respondents were asked about their knowledge of STDs, how these diseases get transmitted and their sexual behaviours. The data showed that 92% of the respondents knew of at least one STD (syphilis, gonorrhoea, chlamydia, herpes, genital warts, yeast infection, trichomoniasis or HIV/AIDS). About 95% of them knew of at least one method of STD transmission. Urban and tertiary-educated male youths showed a substantially higher proportion of awareness of STDs and transmission methods compared with their rural and less-educated counterparts. The data also indicated that 10% of the study sample admitted to having had sexual experiences. There were still a large proportion of the respondents who were not aware of STDs other than syphilis and HIV/AIDS and the means of transmission, such as multiple sex partners, including those who claimed to be sexually active. Thus there is a need for more concerted efforts to disseminate information on STDs and transmission methods to a wider audience in Malaysia, especially youths in rural areas.

Determinants of self-reported food safety practices among youths: A cross-sectional online study in Kuala Lumpur, Malaysia

The purpose of this paper is to examine the level of food safety practices and their determinants among youths in the city of Kuala Lumpur, Malaysia.,An online cross-sectional study was carried out among 1,178 students at a premier university in the city of Kuala Lumpur. A web-based questionnaire pertaining to food safety knowledge, attitudes and practices was e-mailed to all registered students.,This study found that 61.7 per cent of the respondents had good food safety practices, 89.7 per cent had fair knowledge and slightly less than half of them had positive attitudes regarding food safety. There was significant association between respondents’ attitudes and their food safety practices. No association was found between socio-demographic characteristics, year and field of study and their food safety practices. There was also no significant association between knowledge and food safety practices. Respondents with positive food safety attitudes had higher odds (OR=7.55, 95 per cent CI: 5.66, 10.07) for food safety practices compared to those with negative attitudes.,As the study population consisted only of university students, the results may not be generalised to all youths in the country. Data collection using online self-reported questionnaires may cause misinterpretation. However, the questionnaire was validated and pilot tested prior to data collection. The results can be used in creating greater awareness of food safety practices, especially on positive attitudes among Malaysian youths.,This study describes self-reported food safety practices and their relationship with socio-demographic factors, knowledge, and attitudes of Malaysian university students.

DIFFUSION OF INFORMATION COMMUNICATION TECHNOLOGY (ICT) THROUGH THE RURAL INTERNET CENTRE: THE MALAYSIAN EXPERIENCE

This paper focuses on examining the ICT diffusion by studying an initiative of the Malaysian government to bridge the digital divide that exists across the countrys urban and rural communities. This is achieved through investigating the operation and the experience of a typical Rural Internet Centre. The findings of this study showed that there is keen interest among the community to learn and sharpen their ICT-related skills. The Internet Centre serves to provide an avenue for the realisation of this goal. The study showed that despite some operational snags, the Internet Centre performed well. One of the by-products of the centre was that its activities fostered closer relationships among users; it provided an avenue for disparate community members to interact and share their new skills. Bringing the ICT usage and appreciation to the rural areas was successful. About half of the centre users made weekly visits during which they searched for information on the internet, sent and received e-mail and attended the Internet Centres regular IT classes. They also saw it as a valuable communication channel and a potential leveller of the technological capability gap.

The Development of e-Commerce in Malaysia

E-Commerce has become an important tool in handling different types of business activities emerging from the convergence of several information technologies and business practices. Although E-Commerce has been seen to be an effective and efficient way of doing business, the degree/extend of adoption is still not as extensive and with some reservations amongst both users and non-users. The paper focuses on the analysis of primary data collected via questionnaire on adoption of E-Commerce applications and its constraints. As expected, the results showed that e-mail was the most widely adopted E-Commerce application mainly due to a minimal cost involved in the implementation. The results also revealed that about 27% of the respondents did not adopt any kind of E-Commerce applications and nearly 75% of them can be considered as low users (i.e. utilizing less than five applications). Security has been indicated by many to be the top main reason for not adopting E-Commerce.