ABSTRACT
Background: Poor menstrual hygiene and inadequate self-care are major determinants of morbidity and other complications among adolescent age groups. Some of these problems include urinary tract infections, scabies in the vaginal area, abnormal abdominal pain, and absence from school. Due to the silence prevailing in developing countries related to the topic of menstruation and related issues, many young girls lack appropriate information on menstrual hygiene. Learning about menstrual hygiene is a vital part of health education for adolescent girls so that they can continue to work and maintain hygienic habits throughout their adult life. Objectives: The objectives of this study were (1) to assess the knowledge of students about menstrual hygiene and the diseases contracted if the standards of hygiene are not maintained and (2) to educate and increase the awareness of the students about the proper hygiene to be maintained during the cycle and about the risks. Materials and Methods: This was a two-point cross-sectional study, carried out during October–December 2017 among 200 adolescent school going girl students of Government Hamidia Girls School, Bhopal. MS Excel and Epi info version 6 were used for statistical analysis. The study population was interviewed through pre-tested and pre-designed questionnaire, and intervention in the form of audiovisual presentations was given. Results: Of 200 students studied, majority, i.e., 71% of the girls was aged between 15 and 17 years. Only 38% of the girls were aware of menstruation before menarche. The main source of information about menstruation and menstrual hygiene was their mother in about 54% of girls. 76% of the girls used sanitary pads during menstruation. Conclusion: The present study shows the need for adolescent girls to have accurate and adequate information about menstruation. The study revealed that the knowledge on menstruation is poor and the hygiene practiced is often suboptimal. Awareness among adolescent girls regarding menstruation has increased in recent times, but lot more can be done to improve menstrual health management awareness among adolescent girls for addressing those problems.
ABSTRACT
Background: India is the highest TB burden country in the world. In the year 2006, annual performance of revised national tuberculosis control programme (RNTCP) in India, in terms of cure rate of new smear positive patients was 84%, default rate was 6.4% while in Madhya Pradesh it was 82% and 7.6% respectively. Rewa district have poor performance as compare to national level. Non-adherence with treatment has been recognized as an important factor responsible for low cure rate and high incidence of drug resistant TB. The objective of study was to find out the compliance rate with DOTS and associated factors responsible for non-compliance in the district. Methods: The present observational study was carried out at fifteen selected DMC cum DOTS centers of Rewa district, M.P. Results: Of the 337 patients interviewed, majority of patients 270 (80.11%) complied and 67 (19.88%) did not comply to treatment. The main reasons for non-compliance were false perception of having their disease cured because they felt well with initial treatment 26 (38.81%), side effects of drugs 23 (34.33%), anxiety of loss of wages 9 (13.43%) and Migration of patients 7 (10.44%). Conclusions: Repeated counselling and motivation of noncompliant patients would be helpful to reduce noncompliance to treatment.
ABSTRACT
An epidemic of viral hepatitis occurred at Rewa district of Madhya Pradesh during December 1989 through April 1990. A total of 302 cases were admitted to Gandhi Memorial Hospital. Few cases were reported from the adjacent rural areas. Twenty six of the 40 wards of the city were affected and 7 wards were most affected with attack rates ranging from 3-7 per cent. Seventy one per cent of the hospitalised cases were 15 to 35 years of age. Males constituted 72.2% of the cases. In 37 patients (12.2%) the illness had a fatal outcome. The cases fatality rate was 7.9% in males and 20.6% in females. There were leakages in water supply pipe lines at many places which ran parallel to or were laid across open gutters. The source of infection appeared to be water contaminated by sewage. Results of serological tests indicated a non-A, non-B hepatitis viral aetiology of the epidemic.