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Introduction: Five out of eight districts of Saurashtra region are declared hyper endemic for malaria in the year 2011-12 & 2012-13 and given priority by World Bank Project for Malaria control activity in these districts. Burden of malaria contributed by these districts is more than 40% of total burden of Gujarat state, and Jamnagar is one of those districts. By Studying trend of Malaria in Jamnagar district will give an opportunity to identify particular seasonal trends and thus by effective surveillance mechanism, future out-breaks can be prevented. Aim & Objectives: 1) To study the trend of malaria situation in various Talukas of Jamnagar District. 2) To compare the trends for last four years. Materials & Method: Present record base study was carried out in 10 Talukas of Jamnagar district to analyzed the trend of malaria situation in the Jamnagar district by department of community medicine, Shri M.P.Shah Medical College, Jamnagar during the month of September 2012 to analyze the trend from the year 2009 to 2012 (up to September month). This was based on the monthly and progressive data format (monthly reports) was collected form District Malaria Officer of Jamnagar district and analyzed by using Microsoft excel 2007 and the result was presented in Table and graph. Results: Total numbers of cases were decreasing over the period of last 3 years. ABER is >10% in most of the Talukas which is indicated the surveillance activity is done properly over the period of years. Conclusion: In the year 2012 all parasitological indicators showing decreasing trend of malaria in comparison with previous years i.e. API, ABER, SPR, PF, and no malarial deaths at all. Continuous surveillance is effective in reduce the morbidity and mortality of vector borne disease like malaria. Seasonal trend of malaria follows the same pattern of distribution showing peak in months of Jun-July.
ABSTRACT
Background: Provision of good quality care is the crux of the RCH Programme. Good quality of care ensures satisfied clients, who in turn come back for services and become advocates for others. Quality has not been given adequate attention in Government Health Care facilities, because of which there is underutilization of RCH services. Aims & Objective: The present study is an attempt to assess the perception of clients (women who delivered in last one year) regarding various aspects of maternal and child health care delivery components. Material and Methods: It was a community based cross sectional study carried out in ten primary health centre areas. Study subjects were the women delivered in last one year. Sample size was calculated considering the proportion of pregnant women who received at least three antenatal check-ups in district level household survey – 3. One hundred fifty such women were interviewed using pretested proforma from subcenter of each randomly selected PHC area. Data were entered and analyzed in epi info software version 3.3.2. Results: Majority of the women (80%) opined that the behaviour of health care providers was good while 21% of women felt that the communication skills of attending doctor / FHW were not good. Only two third of the women were satisfied with the quality of services provided to them at health facility. RCH indicators were better among the women who were satisfied with the behaviour and communication skills of the health care providers. Conclusion: Present study revealed that women’s perception about various indicators of quality of care, behaviour and communication skills of the health care providers affect the overall satisfaction of the women and in turn it significantly affects utilization of RCH services.
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Background: Integrated Child Development Services (ICDS) is one of the world’s largest community based schemes running in India for over three decades. Frequent evaluations of the scheme have been conducted to make it more effective to promote early childhood care. Objectives: Comprehensive assessment of services provided under ICDS in urban slums of Jamnagar city of Gujarat state. Methods: It was decided to study 15% of the total 297 AWCs of the city through Simple Random Sampling technique. The AWCs visited were evaluated with respect to infrastructure facility of the centre, record keeping activity & knowledge of AWWs, availability of essential drugs & logistics. Results: A total of 48 centers were evaluated. 24 centers operated from Kutcha or semi-pucca buildings and toilet facilities were lacking at 20 of the centers. Only about 44% of the enrolled 3-6 years children were present at the AWC on the day of visit. Nearly 40% of the enrolled children had varying grades of malnutrition. Unavailability of medicine kits & other logistics, was observed. Three fourth of the AWW described providing non-formal preschool education & supplementary nutrition as their only responsibilities forgetting other essential components of their service. One fourth of the AWW did not know proper time to initiate Breast Feeding and over one third (37.5%) of them did not know the Universal Immunisation Program schedule fully. Less honorarium & poor quality of supplementary food were their main difficulties. Conclusion: the AWC currently acts merely as a food distribution centre with minimal provision of other services. Regular growth monitoring of the children along with supervision of the services provided would be far more effective in improving the nutritional status of the children than supplementary nutrition alone.
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Background: College students may start smoking when they are away from family or with peer pressure or as a curiosity. This is the commonest time to habit formation. Objectives: To study practices of smoking and behavior changes in medical student and to find out factors associated with smoking. Material and Methods: A Cross study was conducted among the 200 medical students of Shri M.P.Shah Medical College, Jamnagar from different batches who were ready to participate and to give response. Study period was15/01/2007 to 30/01/2007 by pretested oral questionnaire method. Statistical analysis was done by excel software. Results: 18.5% students were smoker, 67.55% smokers’ fathers were smoking, and 56.75% of student had history of smoking for more than 6 months. Peers played a major role in initiation of smoking in 70.27% of smokers. 54.05% of students started smoking to relieve exam stress. 56.75% students wanted to quit smoking. Increased smoking frequency was observed in 78.37% students during exam periods. Conclusions: Smoking was significant problem among the male medical students and usually started by peer pressure or family history or exam stress.
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BACKGROUND: Patch testing is a definitive tool for diagnosing allergic contact dermatitis (ACD). It reveals the prevalence and trends of contact sensitization in the community, thereby paving the way for better standard series. There is paucity of large series of patch-tested patients from India. AIM: To report the 9-year patch-test data from a single general dermatology centre in North India. METHODS: Consecutive patients presenting with signs/symptoms of suspected ACD were patch tested from May 1997 to April 2006. The Indian Standard Series was used. Parthenium was tested only in selected patients and cetrimide and chloroxylenol were added to the series. RESULTS: In total, records of 1000 patients (566 male, 434 female) were analyzed, yielding 1155 positive reactions in 590 (59%) patients. Footwear dermatitis was the commonest suspected diagnosis, followed by ACD to medicaments, cosmetic dermatitis and plant dermatitis. Out of the allergens that were tested in all the patients, positivity to nickel was the commonest (12.9%), followed by potassium dichromate (11.1%) neomycin (7%), mercaptobenzthiazole (6.6%), nitrofurazone (6%), colophony (5.7%), fragrance mix (5.5%) and cobalt chloride (5.4%). However, parthenium was the commonest allergen based on the proportion of patients tested with it (14.5%). In men, potassium dichromate (30%) was the commonest sensitizer and in women, nickel (43%) was the commonest to show patch-test positivity. CONCLUSION: Our study revealed higher prevalence of footwear and medicament dermatitis in comparison to existing data. Allergy to antiseptics is significant in our patients. Further collaborative studies involving patients from other parts of India are required to have an overall view of ACD in India.