ABSTRACT
Background: Injuries and violence are among the most prominent public health problems in the world. Objective was to study the epidemiological profile of injuries in urban and urban slum areas of Rajkot city, India.Methods: A community based study was conducted in Rajkot city with sample size of 540 households. Total 30 clusters (society) were selected from 805 notified societies including 20 clusters from urban areas and 10 clusters from urban slum areas of Rajkot city. From identified cluster, 18 households were selected to achieve targeted sample size 540. All injuries reported among all household members in the last 12 months were included in the study. A total of 2,367 persons of all ages were interviewed.Results: The prevalence of injury was 14% among 2,367 study participants. Almost all injuries (99.1%) were unintentional in nature. The leading causes of injures were falls (49.2%) and road traffic accidents (RTAs) (35.7%). Significant numbers of injuries were reported among males (p<0.01). The males reported RTAs (46.9%) and females reported falls (64.2%) as a common type of injury (p<0.01). Lower limb (70.1%) was the most commonly affected body part and road (38.4%) was the most common place of injury occurrence. Average money spent by injured person was Rs. 7,000. Only 11.3 % study participants had health insurance.Conclusions: Injury prevention priorities should be focused on the leading causes such as falls and RTAs to develop specific preventive strategies.
ABSTRACT
Objective: To study the five year trend of epidemiological and demographic characteristics ofdengue infections from year 2013 to 2017 among children upto 15 years. Methods: Thisstudy presents data from review of microbiology department records of samples for denguetesting with information supplied by clinicians on the investigation request form. Patientswere tested for NS1 Ag, IgM Ab or both. Results: Out of 4216 samples, 1072 (25.4%) werepositive for dengue. Positivity ranged from 44.1% in year 2013, 25.8% in 2015 to 16.1% inyear 2017. Most cases reported were among male (57.9%), from urban areas (77.9%) andRajkot district (75.7%). Reporting of dengue cases increased from July to November withpeak during October every year. Conclusion: Serum samples for dengue serology weremore commonly positive in July-September months during the study period, and in malechildren, and those from urban areas.
ABSTRACT
A total of 1496 school children aged 8-18 years (79.1% boys) participated in this study. Prevalence of obesity and overweight was estimated by using three different growth standards. Revised IAP 2015 growth standards detected more obese and overweight children than WHO 2007 and IOTF standards.
ABSTRACT
Background: The Integrated Child Development Services (ICDS) scheme has been operational for more than three decades in India. Objective: To evaluate the various aspects of the ICDS program in terms of inputs, process and outcome (coverage), utilization, and issues related to the ICDS program. Methods: A total of 130 Anganwadi centers (AWCs) were selected including 95 AWCs from rural areas and 35 AWCs from urban areas from April 2012 to March 2015, from 12 districts of Gujarat and the union territory of Diu. Information was collected for infrastructure, baseline characteristics of AWWs, provision, coverage and utilization of various ICDS services, and various issues related to program operation. Results: A majority of pregnant (94.7%) and lactating (74.4%) mothers, and adolescent girls (86.6%) were availing ICDS services. In 96.9% of the AWCs, a growth chart was available and 92.3% AWWs were using it accurately. A total of 14.9% children were underweight including 13.5% moderately and 1.4% severely malnourished children. Two-third (66.2%) children were covered by supplementary nutrition (SN). Only 14.6% of the AWCs reported 100% preschool education (PSE) coverage among children. More than half (55.4%) of the AWCs reported an interruption in supply during the last 6 months. Various issues were reported by AWWs related to the ICDS. Conclusion: The study has reported gaps in terms of infrastructure facility, different trainings, coverage, supply, and provision of SN, status of PSE activities in AWCs, and provision of different services to the beneficiaries.
ABSTRACT
Objective: To evaluate Integrated Child Development Services (ICDS) program in terms of infrastructure of Anganwadi centers, inputs, process, coverage and utilization of services, and issues related to program operation in twelve districts of Gujarat, India. Design: Facility (Anganwadi) based study. Setting: Twelve districts of Gujarat, India (April 1, 2012 to March 31, 2013). Participants: ICDS service providers (60 Anganwadi workers from 46 rural and 14 urban Anganwadi centers) and their beneficiaries. Main Outcome measures: Coverage of supplementary nutrition, pre-school education, immunization and referral services. Results: Supplementary nutrition coverage was reported in 48.3% in children. Interruption in supply of supplementary nutrition during last six months was reported in 61.7% Anganwadi centers. Only 20% centers reported 100% pre-school education coverage among children. Immunization of all children was recorded in only 10% Anganwadi centers, while in 76.7% centers, no such records were available. Regular health checkup of beneficiaries was done in 30% centers. Referral slips were available in 18.3% Anganwadi centers and referral of sick children was done from only 8.3% centers. Conclusion: There are program gaps in coverage of supplementary nutrition in children, its regular supply to the beneficiaries, in pre-school activities coverage, recording of immunization, and regular health check-up of beneficiaries and referral of sick children.
ABSTRACT
Three rounds of pulse polio immunization in January, February and March, 2007 were evaluated in Valsad and Vapi cities. Randomly selected team members of 50% booths and teams working during house to house activity were interviewed. Approximately 80% of eligible children were immunized on booths whereas remaining eligible were covered during house to house activity. In February, 2007 round, mOPV type 1 was first time introduced in Gujarat. Utilizers of booth services received information about these rounds mainly from television and miking. During house to house activity, few unimmunised children were found. Adequate manpower with proper training and community mobilization can improve the coverage.
Subject(s)
Health Promotion , Humans , Immunization/methods , Immunization Programs , India , Poliomyelitis/prevention & control , Poliovirus/immunology , Poliovirus Vaccine, Oral/administration & dosage , Social MarketingABSTRACT
All members present on booth, working on National Immunization Day during January and February, 2007 were interviewed by using predesigned and pretested questionnaires to assess their awareness regarding type of OPV and VVM in urban areas of Valsad district. Correct identification of trivalent OPV was highest (54.8%) among health staff members working at booths, but for monovalent OPV it was poor (38.7%). More than half (51.6%) of staff members interviewed had not heard of VVM. Awareness was very poor for VVM among those who have heard regarding its function, how to read VVM and when OPV should be discarded.