Completeness and Appropriateness of Integrated Management of Neonatal & Childhood Illness (IMNCI) Forms filled by the Interns of Tertiary Care Hospital in Gujarat

Introduction: IMNCI is an important strategy being implemented across our country in order to improve health worker's performance and also aim to reduce infant & under-five mortality. Training of MBBS students in IMNCI is being carried out at PramukhSwami Medical College, Karamsad since more than 10 years. In present study, quality of forms filled by interns during their posting at Urban Health Training Centre is assessed in terms of completeness & appropriateness. Objectives: To assess & compare completeness & appropriateness of Upto 2 months IMNCI forms of interns of 2012-13 & 2013-14 batch. Method: This was a record based study in which analysis of filled forms of Two MBBS batches was done. Completeness criterion was based on completely filled forms & appropriateness criterion was based on criterion of completely filled correct forms. Results: All available 216 forms were analyzed. Completeness was found in 18.9% (n=20) & 7.3% (n=8) forms of 2012-13 & 2013-14 batch respectively. Appropriateness of forms was 17.9% (n=19) forms of 2012-13 batch & 7.3% (n=8) forms of 2013-14 batch. Conclusion: Completeness & appropriateness was found to be poor, however it was better in the batch who had received training in final year of MBBS.

Patterns of Injuries in Road Traffic Accidents in a Rural Tertiary Hospital.

Road traffic injuries are a major but neglected global public health problem, requiring concerted efforts for effective and sustainable prevention. Of all the systems that people have to deal with on a daily basis, road transport is the most complex and the most dangerous. Objectives: To study the patterns of injuries in the road traffic accidents and days of hospitalization. Materials and Methodology: The study was retrospective record based study and included cases reported and recorded from October 2007 to March 2008. Results: The present study was designed to study the patterns of injuries in RTA (Road Traffic Accidents) in Anand district of Gujarat. The results showed that out of total 423 RTA cases, 327(77.3%) of the victims were males and the rest 96(22.7%) were females. Two wheeler riders and pedestrians form twothird of the total victims. Total 232 fractures were noticed and of these maximum numbers occurred in the lower limb region (53.86%) followed by fractures in the upper limb (24.54%) and 10.77% fractures were in the skull. Abrasions were seen most commonly on lower limbs (34.31%), lacerations were seen mostly on head (41.07%) and internal injuries were noticed more in the head region (31.48%). 74.2% of the victims were hospitalized and the rest 25.8% took treatment at the trauma centre. 51.1% of RTA victims were hospitalized for 1-5 days while patients who did not require hospitalization were 109(25.8%).

Effectiveness of a program designed to expose medical student to the rural community and support system in healthcare, in a medical college.

Background: It is felt that medical training should largely be made in close proximity of public health & social environment compared to a tertiary care hospital. The package of training could include an exposure to the rural community because a fresh graduate doctor does not have concept of broad community healthcare needs. Aims & Objectives: The aim of the study was to assess the effectiveness of a program designed to expose medical student to the rural community and support system in health. Methods: The study was conducted in December 2008 among 96 medical student of 7th semester. This was a quasi- experimental design with before and after intervention assessment. Assessment was made based on presentations on comparisons of mock village scenario Vs real village experience. A structured questionnaire was used to assess change in knowledge. Results: The mean of the test scores in communication skill and knowledge (based on presentations) in average mock village scenario were 45.94 and improved to 53.56 after real village stay. There was an improvement of 7.62(16.6 %, p<0.001).The mean pre and post village stay score in knowledge based on questionnaire was 56.02 and 67.12 respectively with an improvement of 11.1 (19.81%, p<0.001). The programme was also found to be interesting to the students and villagers. Conclusions: A village stay programme to teach undergraduate student in a field setting to expose them to various parameters of practice of primary health care can help them understand the contextual needs of the society.