ABSTRACT
Background: Health record are essential for monitoring and evaluation of programmes and routine data collection at facility level. Antenatal care is an important intervention for preventing maternal morbidity and mortality. The aim of study is to assess the antenatal care records at sub-centre level. The objective are evaluation of antenatal registration and completeness of antenatal register.Methods: A record based cross sectional study was conducted at a sub-centre in Western Maharashtra. Study period was for 1 month. Data collection was done one year i.e., recent record from November 2017 to October 2018 is selected for study.Results: Out of 141 entries from registers, level of completeness of various data entries in the register were as follows. Mother’s name was 100% (141), mother’s ID was 69.5% (98), expected date of delivery was 97.87% (138), initial weight of mother was 16.31% (23), tetanus toxoid received by mother was 9% (13). Whereas records of address of mother, height of mother and 4 antenatal visits which includes haemoglobin, blood pressure, urine albumin/sugar details were completely lacking. Only 64.5% (91) of antenatal registration were within 12 week of pregnancy.Conclusions: Early registration of pregnancy is less and needs to be increased for proper antenatal care. Incomplete records lead to loss of important health data; hence staff should be made aware of the need to keep records updated. Sub-centre-specific reasons for incomplete records e.g., lack of training, lack of time or motivation needs to be identified for improvement.
ABSTRACT
Background: Obesity is a major risk factor in many serious chronic diseases including cardiovascular disease, dyslipidemia, hypertension, type 2 diabetes, some forms of cancer, and osteoarthritis. The lack of physical activity is one of the main risk factor that leads to overweight and obesity. Objective of the study was to determine the association of obesity with physical activity.Methods: The study was carried out in 4 institutions (3 schools and 1 college) of semi-urban area of Maharashtra from Jan 2013 to Jan 2014. 585 students were selected by systematic sample i.e. every 3rd student was included in the study sample. A pretested standardized questionnaire was used. Body mass index was calculated by dividing the weight in kilogram by square of height in meter.Results: The subjects were asked regarding use of gym facility for exercise, it was found 26.21% subjects, who did not have exercise, had either overweight or obesity. It was also observed that 26.15% study subjects who daily walk less than a kilometer had either overweight or obesity. There was statistically significant difference between physical inactivity and prevalence of overweight as well as obesity.Conclusions: The subjects were asked regarding use of gym facility for exercise, it was found 26.21% subjects, who did not have exercise, had either overweight or obesity. It was also observed that 26.15% study subjects who daily walk less than a kilometre had either overweight or obesity. There was statistically significant difference between physical inactivity and prevalence of overweight as well as obesity.
ABSTRACT
Background: The basic cause of obesity is over nutrition easy and increasing availability of energy-dense, high-calorie foods/snacks and drinks are one of the factors that could significantly affect children’s energy intake.Methods: All adolescent school going boys and girls in the age group between 10 to 19 years were included as per definition of adolescent. 585 students were selected by systematic sample i.e. every third student was included in the study sample. A pretested standardized questionnaire which consisted of questions related to sociodemographic data and nutrition was used to screen the population for determining association between nutrition and obesity.Results: It can be observed that 28.21% students were vegetarian while remaining 71.79% were having mixed diet. It can be observed from the Table 2 that overweight and obesity are not related to frequency of consumption of meal, It can be seen that 30.97% overweight subjects had frequent junk food. There was a significant association between frequency of junk food and prevalence of overweight as well as obesity. 25.73% Students with overweight and obese subjects were frequent sweet eaters.Conclusions: Vegetarian diet or non-vegetarian diet did not have any effect on prevalence of underweight, overweight and obesity in adolescent population. Overweight and obesity are not related to frequency of consumption of meal. There was a significant association between frequency of junk foods, sweets with prevalence of overweight as well as obesity.