Does utilization pattern of antennal care & early neonatal practices improved by close supervision and support intervention among primigravidae in the tribal area? - Community based interventional study.

Pregnancy related complications are among the leading causes of death and disability for women aged 15-49 in India. The National Rural Health Mission (NRHM) is contributing to the various health needs still the antenatal care utilization and neonatal practices are very poor especially in the tribal pockets of Maharashtra. Our aim was to assess the impact of close supervision and support intervention (CSSI) among primigravidae as compared to non-intervened primigravidae. Community based interventional study done in the tribal rural health training centre (RHTC) which is field practice area of tertiary health care institute.Total of 120 registered primigravidae mothers were enrolled in the study and were divided into two groups interventional group (N=30) and non- interventional group (N= 90).The CSSI was given to interventional group. Only 57 (42.50%) & 59(49.17%) women had taken two doses of TT immunization and ≥100 IFA tablets respectively. Regular CSSI helped to increase the ANC visits 25(83.33%), helped to confine delivery either at the RHTC or private hospital 29(96.70%).Maximum mothers i.e. 17(90%) and 30(100%) initiated breast feeding within 1 hour and fed colostrums to their baby respectively.

Impact of ‘Community based Diabetic patient education’ on glycaemic status, life style and self care practices among type 2 diabetes patients in an urban slum of Mumbai, India.

Demographic transition combined with urbanization and industrialization has resulted in drastic changes in lifestyles of all people but its harmful impact is more in developing countries because of their rapid pace of growth in last few decades. According to the recent World Health Organization report, India has around 32 million diabetic patients and this number is projected to increase to 79.4 million by the year 2030. Our Aim of the study was to assess the impact of community based DPE on glycaemic control, life style and self care practices among type 2 diabetic patients. This community based interventional study done among 272 type 2 diabetic patients who were selected from slum area. All patients were given Community diabetic patient education (DPE) over a period of one year. Following DPE the life style parameters and self care practices have improved which is statistically significant (p value <0.05). Both fasting and postprandial blood sugar level, blood pressure & BMI had been significantly improved (p value < 0.001).