ABSTRACT
Background: Breast milk, the first natural food for a new-born, provides all the energy and essential nutrients an infant requires for the first 6 months of life. The NHFS -4 survey shows only 45.5% of children are exclusively breastfed (EBF) in Puducherry. This study aims at assessing the socio-demographic characteristics associated with exclusive breastfeeding in a tertiary hospital in Puducherry and identify the barriers in the promotion of exclusive breastfeeding.Methods: Community-based cross-sectional study at a tertiary hospital in Puducherry. Sample size: 115 mothers of 6 months to 2-year-old children, born term gestation with a birth weight of >2.5 kg, attending the Paediatric OPD. Questionnaire-based study comprising of socio-demographic and parameters pertaining to exclusive breast-feeding.Results: Only 44.3% of the mothers have exclusively breastfed in the first 6 months. Shorter duration of spacing between births and caesarean section had significant negative association with exclusive breast-feeding. Most of the mothers received postnatal counselling on breast-feeding (94%) of which 58% were by health care personnel. Despite that, only a sixth (19%) of them were well versed with proper breastfeeding techniques. Poor secretion (45.3%), sore/inverted nipple (23.5%) amounted to the most common of the barriers. Among working mothers, 42.9% attributed their jobs as the cause for early weaning.Conclusions: The prevalence of exclusive breastfeeding is still low even among a literate study group. There were no significant association with socio-demographic factors found, but lacunae were identified. A more objective post-natal counselling to mothers involving their caregivers may improve the current scenario.
ABSTRACT
Background: India’s current approach for intervention in non-communicable diseases (NCDs) is more in terms of early diagnosis and treatment. The focus should also be on the management of risk factors in the diseased individuals. The objectives of the study are to measure the risk factors of NCDs, lifestyle modification followed by them and to assess the challenges in reducing the risk factors of NCDs faced by the study population.Methods: The study was conducted between March and June 2017 in 2 government primary health centres (PHCs) in Puducherry. Based on systematic random sampling, 200 patients enrolled in NCD clinic with diabetes mellitus, hypertension, Stroke and myocardial infarction were selected for the study. After obtaining written informed consent, data was collected.Results: Out of 200 participants, majority of them were in the age group of 51-70 years (60%), females (71%) and living in nuclear family (83%). Among 200 participants, 23.5% of them had diabetes mellitus, 42% had hypertension and 24% had diabetes with hypertension. The risk factors that many of the participants had were excessive salt and sugar intake, overweight and obesity, less vegetable and fruits intake and alcohol consumption. Out of 200 participants, the major challenges in reducing the salt and sugar intake were lack of awareness and no family support.Conclusions: Most of the participants were oldest females who had diabetes or hypertension. The most common NCD they were suffering from were diabetes and hypertension. The major challenge in the management of NCDs is lack of awareness.
ABSTRACT
Background: Optimal infant and young child feeding practices (IYCF) are essential to address the increasing burden of malnutrition and for the overall development of the children. The present study was conducted to estimate the proportion of optimal infant and young child feeding practices among rural children aged 0 to 23 months and study the associated socio demographic factors.Methods: A community based cross-sectional study was conducted among 360 children in the age group of 0 to 23 months in a rural field practice area of a medical college in Puducherry. Data on IYCF practices were collected using a standardized tool developed by WHO. Core and optional IYCF indicators were calculated. Chi-square test and Fishers’ exact test were used as tests of significance.Results: Almost 88.0% of infants were initiated early on breastfeeding and 90.8% were exclusively breastfed for six months. Children who were continuously breastfed at one year and two years were 77.4% and 22.4% respectively. About 75.0% were introduced with solid or semisolid foods at 6 to 8 months of age. Among children aged 6 to 23 months, 77.3% had the recommended minimum dietary diversity, 81.3% had the minimum meal frequencies, while 57.7% received the minimum acceptable diet and only 39.4% consumed iron rich foods. Gender was significantly associated with the practice of continued breastfeeding at one year, adequate minimum dietary diversity and minimum meal frequency.Conclusions: The core and optional IYCF indicators were acceptably good in the initial six months of life but thereafter showed suboptimal levels, which should be emphasized among the mothers or primary care givers.
ABSTRACT
Background: Dengue virus can cause a wide range of illness in humans, from unapparent infection, to classic dengue fever and to fatal dengue haemorrhagic fever. Until a vaccine becomes available for public health use, primary prevention of transmission is crucial to decrease the burden of dengue, and control of Aedes is the only available strategy.Methods: The mosquito larval survey was carried out in the month of November 2017 in Echangadu, a coastal village in Puducherry to assess mosquito breeding sources for the presence of dengue vector species. The survey was performed by selecting houses where freshwater was available. For each household, the presence or absence of possible breeding sources were recorded, as well as the presence or absence of mosquito larvae.Results: Of the 102 houses surveyed, 20 of the houses were infested with Aedes larvae. A total of 182 containers were found in these households of which 47 containers were positive for Aedes larvae. Coconut shells, plastic, metal and discarded containers were the most often found breeding sites.Conclusions: The larval surveillance indicators among the households surveyed revealed a very high risk of future dengue outbreak in the village. All the containers examined including those positive for Aedes larvae were safely disposed
ABSTRACT
Diabetes mellitus (DM) is the commonest endocrine disorder. The disease was well known to the ancient Indian medical experts. The modern pharmacopoeia contains many example of folk remedies which have led to the discovery of important therapies for a range of conditions. Traditional medicinal plants widely used and accounts for around 40 % of all health care delivered. In India indigenous medicines have been used in the treatment of DM since the time of Charaka and Sushruta (6th century BC). The main purpose of this research work is to document the anti-diabetic plants found in Puducherry. In this study the existing tradition of treating diabetes by 58 plants species, 52 genera comprise 36 families have been collected and summarized. The study reveals the persistence of folk medicine practices in Puducherry , especially in rural areas were people are still using indigenous traditional knowledge for health care, that are being influenced by cultural and socio-economical aspects, providing a cheaper and accessible alternative to the high cost pharmaceutical remedies. Present study does not prescribing any remedies for DM or any of the disease but the purpose is to document the use and draw the attention of pharmacologist, botanist, phytochemist and pharmocognosist for further scientific research in the field.