ABSTRACT
Background: Learning from the past experiences, the district health authority Shahdol has planned a mass-prophylactic activity with the Homeopathy Medicine (Malaria Off 200) in the selected high-risk villages (above 5 API) in the year 2016 Objective: The present paper reports the effectiveness of Malaria off 200 as mass-prophylactic drug in addition to routine antimalarial activities under NVBDCP in district Shahdol, Madhya pradesh in year 2016. Methodology: A Homeopathic drug Malaria Off 200 was used for the mass-prophylaxis of Malaria in high malaria transmission season in selected 28 villages of district Shahdol. The effectiveness of the drug was ascertained as “Reduction of ≥20% villages, having more than 2 malaria case in six-month period (July-December 2016)in comparison to the previous year”. Result: Of the 28 villages, seven (25%) reported Malaria case incidence equal to or less than two in six-month period (July-December 2016). In the same time period in previous year 23 (82%) villages reported Malaria case incidence more than two. So, reduction of number of villages with 'biannual Malaria case incidence’ rate was 57%. Conclusion: The short term finding validate the campaign as effective, as per the operational definition of effectiveness coined for the campaign. However, further time series studies with Autoregressive Integrated Moving Average (ARIMA) is recommended for future.
ABSTRACT
Background: One of the challenges of Revised National Tuberculosis Control Programme (RNTCP) has been that it has not been able to impart adequate knowledge, satisfactory attitude and desirable practices among treatment-supporters of rural and tribal communities. Present study was planned to explore the knowledge, attitude, practice and perceived barriers related to Directly Observed treatment (DOT) provision among the treatment-supporters of Shahdol district, Madhya Pradesh in 2018. Methods: Mixed–methods study design of triangulation type was used among 30 community- based treatment-supporters of DOT from Sohagpur tahsil of district Shahdol of Madhya Pradesh, India. The cross-sectional quantitative component assessed the knowledge, attitude and practices and three focus-group discussions were used to explore the perceived barriers related to DOT provision. Results: ‘Adequate knowledge’ related to DOT provision was found in 37% of treatment- supporters, while 40% had “satisfactory attitude” and 60 % had “satisfactory practice” related to DOT. The focus-group discussions revealed, ineffective training, lack of supportive supervision, insecure monetary incentive, distant Public Health Institution/Designated Microscopic Center, language barrier and patient related stigma to TB disease as main perceive challenges related to DOT. Conclusion: Study revealed inadequate knowledge and unsatisfactory attitude and practice related to DOT provision among treatment-supporters. Effective training, making services accessible to patient, making RNTCP form in Hindi language and strengthening of honorarium disbursement mechanism are urgently required.
ABSTRACT
Objective: To estimate the prevalence of Iodine Deficiency Disorders, and householdconsumption of adequately iodized salt in Damoh district, Madhya Pradesh in 2016.Methods: Cross-sectional study with cluster sampling method was used among school-going children. 30 clusters, each with 90 children were selected to access Total Goiter rate(TGR). 540 salt samples were collected to estimate salt iodine content from their householdand 270 on the spot urine samples were collected to estimate Urine Iodine Excretion level.Results: TGR was 2.08%. The prevalence of iodine deficiency, adequate iodine nutrition,and either more than adequate or toxic level of Iodine was 26%, 28% and 46 %, respectively.72.4% people were consuming adequately iodized salt. Conclusions: Damoh district is nomore an endemic area for iodine deficiency. We recommend continuous monitoring toassess IDDs as well Iodine-induced toxicity in future