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Background: Reproductive health plays a significant role in a woman’s life. Women of child bearing age group in developing countries suffer ill health due to lack of knowledge on reproductive health issues. The objective of the present study was to assess the knowledge regarding reproductive health among women and the associated socio-demographic factors.Methods: A total of 345 women of age group 15-44 years were recruited using cluster sampling in 15 clusters from among 28 villages under a Primary Health Center from May to July 2017. Data on sociodemographic details and knowledge of reproductive health under the following domains: menstruation, contraception, reproductive tract infections and marriage and pregnancy were collected using a modified interview schedule.Results: The mean age of the study population was 28.59±9.08 years. Majority of them belonged to age group 15-30 years (60%), attained school level education (55.7%), 45% were gainfully employed, married (65.5%) and from middle class (40.6%). It was found that out of 345 study population; only 19% had adequate knowledge on reproductive health. The proportion of women who had adequate knowledge in each domain was marriage and pregnancy (47.5%), menstruation (29.9%), contraception (17.4%) and least being reproductive tract infections (15%). Knowledge on reproductive health was significantly inadequate among women in the age group 31-44 years, illiterate women, who belongs to lower class and students. Only, socio-economic status and occupation were the significant predictors of knowledge.Conclusions: Knowledge regarding reproductive health was inadequate among women in reproductive age group in rural areas.
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Background: Diabetes education enables patients to be more involved in their care and helps in delaying complications. Mobile phone penetration in rural India is high and provides us with an opportunity to use mobile phones in delivering diabetes education messages. So the objective of the study is to study mobile phone usage among adults with type 2 diabetes mellitus in an urban sub-center.Methods: A list of all the patients with type 2 diabetes mellitus was obtained from the health management information system records of the rural health and center and structured interview schedule was administered. Universal sampling method was used.Results: Around half of the diabetic patients included in the study (55.6%) owned a personal mobile phone, 44.4% had access to a smart phone in the household and 35.4% had internet connectivity on their phone. Predominant mobile phone usages included making phone calls (54.4%), short messaging services (44.8%), listening to music (17.6), wake up alarm (14.4%) and capturing photos/videos (12.8%). Very few participants reported using mobile phone for health-related purposes (12.8%) and usage of health-related apps (10%). A large proportion of participant reported that they would like to receive reminders for clinic visits (54.0%), set alarms as reminders to improve adherence to medication (53.6). Chi-square test was used to find associations.Conclusions:Two-thirds of the patients with known diabetes have access to a mobile phone at the household level. Mobile phones have potential application to be used as channel for health education, reminders for clinic visits and to improve adherence to medication among patients with diabetes in urban India
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Cardiovascular diseases account for almost half of all deaths from noncommunicable diseases, and almost 80% of these deaths occur in low- and middle-income countries such as India. The PrePAre (Primary pREvention strategies at the community level to Promote treatment Adherence to pREvent cardiovascular disease) trial was a primary prevention trial of community health workers aimed at improving adherence to prescribed pharmacological and nonpharmacological therapies in cardiovascular diseases. It was conducted at three geographically, culturally and linguistically diverse sites across India, comprising 28 villages and 5699 households. Planning and implementing large-scale community-based trials is filled with numerous challenges that must be tackled, while keeping in mind the local community dynamics. Some of the challenges are especially pronounced when the focus of the activities is on promoting health in communities where treating disease is considered a priority rather than maintaining health. This report examines the challenges that were encountered while performing the different phases of the trial, along with the solutions and strategies used to tackle those difficulties. We must strive to find feasible and cost-effective solutions to these challenges and thereby develop targeted strategies for primary prevention of cardiovascular diseases in resource-constrained rural settings.