ABSTRACT
Background: Janani Suraksha Yojana (JSY) was launched on April 12, 2005, under the National Health Mission for the benefit of maternal and child health. JSY is a centrally sponsored scheme, which integrates cash assistance with delivery and post-delivery care. Just after delivery, women are more receptive to accept a contraceptive method. With increased institutional deliveries influenced by JSY, the health-care providers have an excellent opportunity to counsel and provide them with safe and appropriate contraceptive method. The Government of India launched postpartum intrauterine contraceptive device (PPIUCD) services in the year 2000; although acceptance of PPIUCD in JSY beneficiaries is a real concern. Objectives: The objectives of this study were as follows: (1) To study the acceptance of PPIUCD in JSY beneficiaries and (2) to study the sociodemographic factors in relation to PPIUCD acceptance. Materials and Methods: The retrospective study was conducted in Rural Government Hospital in Maharashtra during 2016–2017. We studied sociodemographic variables of JSY beneficiaries and their acceptance to PPIUCD. The sample size was 353 (n = 353). The sociodemographic factors studied included age, type of delivery, sex of newborn, and educational status of patient and her husband. Results: The total postpartum women included in the study were 353 who had taken JSY benefit, of which, 116 (32.6%) accepted for PPIUCD, whereas 237 (67.4%) rejected the same. Around 43% of primipara patients were accepted PPIUCD. Among multiparous women with three living children, only 6% accepted it. The educational status of both, the postpartum women and their husband, showed statistically significant association with the acceptance of PPIUCD (P < 0.05) in JSY beneficiaries. Conclusions: The acceptance PPIUCD was low (32.6%) in JSY beneficiaries. Primipara or young age patients are easy to counsel about PPIUCD, and hence, the acceptance is high. All efforts should be made to increase acceptance of PPIUCD among JSY beneficiaries.
ABSTRACT
background & objectives: Improving quality of life (QOL) of healthy people living with HIV (PLHIV) is critical needing home-based, long-term strategy. Sudarshan Kriya yoga (SKY) intervention is acknowledged for its positive impact on health. It is hypothesised that SKY would improve PLHIV’s QOL, justifying an evaluation. Methods: In this open label randomized controlled pilot trial, 61 adult PLHIV with CD4 count more than 400 cells/μl and Karnofsky scale score above 70 were enrolled. Those with cardiac disease, jaundice, tuberculosis, or on antiretroviral therapy/yoga intervention were excluded. All were given standard care, randomized to SKY intervention (31: I-SKY) and only standard of care in control (30: O-SOC) arms. The I-SKY participants were trained for six days to prepare for daily practice of SKY at home for 30 min. A validated 31-item WHOQOL-HIVBREF questionnaire was used to document effect in both arms from baseline to three visits at 4 wk interval. Results: Baseline QOL scores, hypertension and CD4 count were similar in both arms. An overall 6 per cent improvement of QOL scores was observed in I-SKY group as compared to O-SOC group, after controlling for baseline variables like age, gender, education and occupation (p=0.016); 12 per cent for physical (p=0.004), 11 per cent psychological (p=0.023) and 9 per cent level of independence (p=0.001) domains. Improvement in I-SKY observed at post-training and in the SKY adherence group showed increase in these two domains. Conclusions: A significant improvement in QOL scores was observed for the three health related QOL domains in SKY intervention arm. This low cost strategy improved physical and psychological state of PLHIV calling for upscaling with effective monitoring for sustainability of quality of life.