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Background: Mamta divas is an important health program implemented in India to reduce maternal and infant mortality rate. According to WHO, most maternal deaths are preventable if women have access to basic medical care during pregnancy, delivery and post partum period. Objectives: To assess utilization of Antenatal services by pregnant women attending Mamta Divas in rural areas of Bhavnagar district, Gujarat. Methods: A community based, cross-sectional study was carried out in 22 sessions (Mamta divas) selected by simple random sampling from 11 Talukas of Bhavnagar district & 210 pregnant women interviewed by pre tested questionnaires. Results: Most of the pregnant women were registered in first trimester (61.4%). Only 63% and 65.3% of them received two doses of tetanus toxoid & Iron folic acid supplemetaion respectively. During their visit, 23.8% of pregnant women were counselled for nutrition, 25.2% for danger sign of pregnancy and 20.5% for institutional deliveries. Conclusion: Health education of all pregnant women should be done at individual level by female health worker. All pregnant women should be counselled for institutional deliveries & all components of Antenatal care. More emphasis should be put on identifying the danger signs, examining the abdomen, & Hb and urine examination during visit at Mamta divas.
RESUMO
OBJECTIVE: Objective of this study was to determine the level of knowledge about tuberculosis among patients registered in district tuberculosis center, Bhavnagar. METHODS: A community based cross-sectional study was carried out among New Pulmonary Tuberculosis patients registered in District Tuberculosis Centre, Bhavnagar during 1st January, 2009 to 30th April, 2009. Data collection was carried out between 1/05/2009 to 30/06/09 at 144 patients’ house with help of pre-tested structured questionnaire which comprised of socio-demographic variables and variables to assess the knowledge about tuberculosis. RESULTS: In our study, majority of the patients were male (70.1%) with the most commonly involved age group of 21 to 30 years (30.6%). Nearly one-third (31.9%) of the respondents were illiterate and 44% had received primary education. Only 6.9% of study subjects had correct knowledge about the cause of the disease. Knowledge regarding major symptoms was found in only 47% & knowledge about mode of transmission was found in only 30.6% of respondents. Majority of the respondents (97.2%) have a correct knowledge about the duration of treatment of Tuberculosis. CONCLUSION: In this study, majority of study subjects had poor knowledge about cause of tuberculosis, its mode of transmission & major symptoms while knowledge regarding the duration of treatment was found better among most of the respondents. Proper knowledge and education about tuberculosis is vital to cope the challenge of this devastating disease. DTC, being the main center providing treatment, can play a critical role to raise knowledge among the patients about tuberculosis & its prevention.
RESUMO
Research Question: What is the situation of iodine deficiency disorder (IDD) and salt consumption in Bhavnagar district? Hypothesis: The prevalence of IDD has increased markedly as a result of medical as well as socio-economic factors. Objective: To assess the magnitude of IDD in Bhavnagar district and also assess the salt consumption patterns in the region. Design: Cross-sectional study. Setting: Primary schools in rural areas. Study Tools: Clinical examination of study population for goitre, laboratory assessment of casual urine sample for urinary iodine estimation of I2 content of salt samples collected from sub-samples of study population. Participants: Study was conducted among 2,940 School children in the age group of 6-12 years were selected for study using WHO 30-cluster methodology, urine samples were collected from 15% of selected children and salt samples from 43% of sub-sample. Ethical Concern: No ethical issues were involved. Results: An overall goitre prevalence of 34.19% was observed in the region. Females had a prevalence of 32.9% and males 35.4%. The median urinary iodine excretion in the region was 11.0 μg/l (range: 29.0-190.0 μg/l). Ninty-seven percent of subjects had biochemical iodine deficiency with 73.87% having severe deficiency, 21.38% having moderate and 4.04% mild iodine deficiency. In Bhavnagar region, only 34.27% households consume powdered salt having an Iodine content of greater than 15 ppm. Conclusion: Present study showed severe goiter prevalence in primary school children in Bhavnagar district.
RESUMO
Research Question: What is the situation of iodine deficiency disorder (IDD) and salt consumption in Amreli district? Hypothesis: The prevalence of IDD has increased markedly as a result of medical as well as socio-economic factors. Objective: To assess the magnitude of IDD in Amreli district and also assess the salt consumption patterns in the region. Design: Cross-sectional study. Setting: Primary schools in rural areas. Study Tools: Clinical examination of study population for goiter, laboratory assessment of casual urine sample for urinary iodine estimation of Iodine content of salt samples collected from sub-samples of study population. Participants: Study was conducted among 2,940 School children in the age group of 6-12 years were selected for study using WHO 30-cluster methodology, urine samples were collected from 15% of selected children and salt samples from 43% of sub-sample. Ethical Concern: No ethical issues were involved. Results: An overall goitre prevalence of 25.2% was observed in the region. Females had a prevalence of 25.4% and males 25.1%. The median urinary iodine excretion in the region was 120.0 μg/l (range: 29.0-190.0 μg/l). Forty-eight percent of subjects reported biochemical iodine deficiency with 5.2% having severe deficiency, 6.7% moderate and in 26.4% mild iodine deficiency. In Amreli region, only 39.29% households consume powdered salt having an Iodine content of greater than 15 ppm. Conclusion: Present study shows moderate goitre prevalence in primary school children in Amreli district.