8 research outputs found
A study of severe acute malnourished children who failed to respond to therapy given under Mission Balam Sukham at anganwadi of Western India
No full textUtilization Of Maternal Care Services in Urban Area: Still an Issue of Modern World
No full textIntroduction: Inspite of ongoing efforts of the government, home deliveries are still reported in urban area where finance and dis- tance play minor role. The aim is to study the reasons regarding the barriers of health facility delivery system in Surat city of India.
Methodology: Out of 1004 community based service providing centre of Surat 30 centres were selected by using cluster sampling design. In selected 30 Maternal and Child Day Care Centres, Sec- ond phase of sampling was done where household was sampling unit. A household survey was conducted to assess maternal and child healthcare status.
Results: Among 322 surveyed mothers, 42 mothers delivered at home. Among the home delivered mother 93% was registered for antenatal care, however only 68% had completed 3 Ante natal visits. The most common reason cited by mothers for home deliv- ery was lack of time (45%) followed by family pressure or social custom; unfelt need for hospital delivery and lack of faith in hos- pital.
Conclusion: Though the overall rate of home delivery was less, most of the reasons cited for the home delivery are avoidable, es- pecially when most mothers came into contact of health care sys- tem at least once
A study of the morbidity pattern among the elderly population in Vadodara, Gujarat
No full textBackground: Aging is an inevitable process. Old age persons are more vulnerable to physical and social problems. The objective was to study the prevalence of health problems among elderly population.Methods: A cross-sectional study was carried out on 600 old age persons living in villages of Vadodara district. Their socio-demographic profile and morbidity pattern were assessed by face to face interview. Data were analysed by epi info version 7.Results: Around 65% of study participants have musculoskeletal problems; obesity was prevalent in 46.2% which was more in females (53%) than in males (41%). Depression was more in females 76.2% as compared to males (40%). Prevalence of diabetes and hypertension were 18.7% and 30.33% respectively.Conclusions: Present study reveals that old age persons from various health problems which show the need for comprehensive health programs especially for elderly population.</jats:p
Prevalence of Tobacco Use among Government Employees in Ahmedabad, Gujarat
No full textIntroduction: Tobacco is the most easily accessible addictive sub- stance which contributes to premature death and long term suffer- ing, being a major risk factor for non-communicable diseases. The objective was to study prevalence of tobacco usage and exposure to second hand smoke among the government employees.
Methodology: A cross sectional study was undertaken in urban area of Gujarat from January 2013 to November 2014. Total 300 males and 300 females were selected from class III and class IV government employees of B. J. Medical College and Civil Hospital, Ahmedabad for the study.
Results: In this study, 13% males were smoker and 33.67% males and 4.67% females were consuming smokeless tobacco products. Prevalence of smokeless tobacco was 26.36% in 35 to 45 years of age. Passive smoking was reported by 112 (37.33%) males and 70 (23.33%) in females. Prevalence of smoking was 22% in class IV employees compared to 4% in class III employees.
Conclusions: Prevalence of tobacco was significantly higher in class IV employees. Prevalence of smokeless tobacco consumption was higher in 35 to 45 years of age group and prevalence of smok- ing was higher in age group of 55 years and above
CARDIAC MANIFESTATIONS IN HIV/AIDS PATIENTS AND THEIR CORRELATION WITH CD4+T CELL COUNT
No full text
Introduction: The cardiovascular diseases in HIV/AIDS are increasing in the developing world. Despite this, cardiac involvement is overlooked in HIV-positive patients. The relation of CD4 + T cell count is also important as it correlate with severity of cardiac involvement. The present study is to detect occurrence of cardiac involvement in HIV/AIDS cases and their correlation with CD4+Tcell count.
Objective: The present study is conducted to evaluate the cardiac manifestations, pattern of cardiac involvement and its correlation with CD4+T cell count in HIV/AIDS cases.
Methods: During the period of 1 year from July 2012 to July 2013, total 100 cases of HIV/AIDS were included. The occurrence of cardiac involvement in HIV/AIDS cases was determined based on cardiac enzymes, ECG findings & 2D Echocardiography findings. An attempt was made to correlate various cardiac findings with CD4 T cell count.
Results: Common clinical symptoms were fever (68%), cough (44%) & exertional breathlessness (33%). On 2D echocardiography, Left ventricular diastolic dysfunction was noticed in 28%, pericardial effusion in 14% & Restrictive cardiomyopathy in 7%cases. There was statistically significant relation between left ventricular diastolic dysfunction and pericardial effusion with low CD4+T count. However relation of restrictive cardiomyopathy with CD4+T count was not statistically significant.
Conclusions: Commonly observed cardiac abnormality in HIV/AIDS patients were LV diastolic dysfunction, pericardial effusion & restrictive cardiomyopathy. Asymptomatic cardiac manifestations in HIV/AIDS cases are common. The 2D echo is an important diagnostic tool for the evaluation of cardiac dysfunction. CD4+T cell count is significantly low in cases with cardiac manifestations
Social Networking Media: A Newer Approach to Increase Awareness Against Tobacco Chewing
No full textBackground: Facebook is the most famous social networking website with more than 1.6 billion active users. This study which involves active participation and evaluation of responses to see it’s usefulness in planning advertisement for future media campaigns and intervention using social networking sites.
Method: This was an interventional study, where intervention was done by providing health related message about tobacco chewing. The study was designed in two phases: 1) involvement phase 2) study phase
Result: Total 840 users “Liked” the page, and participated in the study. There were females (29.2%) and males (57.1%) from the age group of 15-25 years. The proportion of the participants who liked the page were from Gujarat 31% followed by Delhi 20% and Maharashtra 17%. The percentage of reach for images was 76.3% followed by 69.4% for status update , 54.5% for video, 47.1% for slogan and message and for web links 30.6%. Total 71% of the users had clicked for images, 35% of the users had clicked for video, 22% users had clicked for status update, 16% of the users had any clicked for slogan and messages and 12 % of the users had clicked for web links.
Conclusion: Facebook has been found highly effective in transmitting messages to health consumers, especially among the youngsters. So information regarding tobacco addiction and outcomes of tobacco chewing can be communicated effectively through Facebook through intense messages
Vaccine Wastage Assessment After Introduction of Open Vial Policy in Surat Municipal Corporation Area of India
No full textBackground
As per the vaccine management policy of the Government of India all vaccine vials opened for an immunization session were discarded at the end of that session, irrespective of the type of vaccine or the number of doses remaining in the vial prior to 2013. Subsequently, open vial policy (OVP) was introduced in 2013 and should reduce both vaccine wastage as well as governmental healthcare costs for immunization. This study evaluates the vaccine wastage after introduction of the OVP and its comparison with the previous study of vaccine wastage in Surat city before implementation of OVP. It needs to mention that the vaccine policy for this period under comparison was uniform except for the OVP.
Methods
Information regarding vaccine doses consumed and children vaccinated during immunization sessions of 24 urban health centers (UHCs) of Surat city were retrieved for the period of January 1st, 2014 to March 31st, 2014. The data were analyzed to estimate vaccine wastage rate (WR) and vaccine wastage factor (WF). In order to assess the impact of OVP, vaccine WR of this study was compared with that of previous study conducted in Surat city during January 1st, 2012 to March 31st, 2012.
Results
The vaccine WR for oral polio vaccine (OPV) has decreased from 25% to 13.62%, while the WRs for DPT, hepatitis B virus (HBV) and the pentavalent vaccine combinedly have decreased from 17.94% to 8.05%. Thus, by implementation of OVP, an estimated 747 727 doses of OPV and 343 725 doses of diphtheria, pertussis and tetanus toxoid vaccine (DPT), HBV and the pentavalent vaccines combinedly have been saved in Surat city of India in a year.
Conclusion
The implementation of the OVP in Surat city has led to a significant lowering in the vaccine wastage, leading to savings due to lower vaccine requirements
Vaccine Wastage Assessment After Introduction of Open Vial Policy in Surat Municipal Corporation Area of India
Get PDFBackground: As per the vaccine management policy of the Government of India all vaccine vials opened for an
immunization session were discarded at the end of that session, irrespective of the type of vaccine or the number of
doses remaining in the vial prior to 2013. Subsequently, open vial policy (OVP) was introduced in 2013 and should
reduce both vaccine wastage as well as governmental healthcare costs for immunization. This study evaluates the
vaccine wastage after introduction of the OVP and its comparison with the previous study of vaccine wastage
in Surat city before implementation of OVP. It needs to mention that the vaccine policy for this period under
comparison was uniform except for the OVP.
Methods: Information regarding vaccine doses consumed and children vaccinated during immunization sessions
of 24 urban health centers (UHCs) of Surat city were retrieved for the period of January 1st, 2014 to March 31st,
2014. The data were analyzed to estimate vaccine wastage rate (WR) and vaccine wastage factor (WF). In order to
assess the impact of OVP, vaccine WR of this study was compared with that of previous study conducted in Surat
city during January 1st, 2012 to March 31st, 2012.
Results: The vaccine WR for oral polio vaccine (OPV) has decreased from 25% to 13.62%, while the WRs for
DPT, hepatitis B virus (HBV) and the pentavalent vaccine combinedly have decreased from 17.94% to 8.05%.
Thus, by implementation of OVP, an estimated 747 727 doses of OPV and 343 725 doses of diphtheria, pertussis
and tetanus toxoid vaccine (DPT), HBV and the pentavalent vaccines combinedly have been saved in Surat city
of India in a year.
Conclusion: The implementation of the OVP in Surat city has led to a significant lowering in the vaccine wastage,
leading to savings due to lower vaccine requirement
