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Background:Snakebites are a very serious issue that affects people all around the world. The world health organization (WHO) has recently classified snake bites as one of the neglected tropical diseases.Methods:It was an observational, prospective and cross-sectional study conducted at the department of general medicine, (Rajendra institute of medical sciences, Ranchi). A total of 60 patients suffering with first time snakebite were selected for this study by using a purposive sampling technique. Demographic data of the 60 selected cases were recorded in pre-designed standard study forms by means of structured personal interview of patients and attendants after taking informed consent.Results:The mean age � standard deviation of participants� age was 37.35�.123.There were 61.7% tribal people and 38.3% non-tribal people. Out of 60 cases included in this study, 93 % were from rural area and only 7% belonged to urban areas. The sociodemographic analysis showed that 93% patients were belonging to lower socioeconomicstatus and 7% were belonging to middle socioeconomic statusConclusions:The present study concluded that majority of the snakebite fresh cases in Jharkhand belonged to male gender. Majority of cases fell in the age range of 16-48 years, majority of casesbelonged to tribal community and rural areas.
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Background: The aim of India is to reach zero Malaria cases by 2027 and then wait for three years before WHO can grant Malaria-free status certification. It is already the beginning of 2022 and India is about to reach the halfway mark of the Malaria Elimination framework period of 2016 to 2027. Objectives: To see how far Jharkhand has reached about Malaria elimination targets. Methods: By reviewing documents published by the National Vector Borne Disease Control Programme (NVBDCP). Results: The Latehar District of Jharkhand had a very high Annual Parasite Incidence (API) of 10.86 during 2018. Conclusions: If interventions like the treatment of positive patients and asymptomatic carriers occur, the API will be expected to decrease drastically.
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Background: The unprecedented demands on health‑care systems due to the COVID‑19 pandemic made countries including India to switch toward alternative modes of health‑care delivery. Objectives: The aim of this study was to describe the various COVID‑related services delivered through 104 health information helpline (HIHL), located in Jharkhand during the pandemic. Methods: The de‑identified secondary data from February 2020 to December 2021 related to COVID services delivered through HIHL were analyzed. Results: There was a significant increase in the COVID call volume during the first as well as the second wave. The HIHL has been able to guide the callers on testing, home isolation and follow‑up, home‑based teleconsultation, vaccination, timely referral, and support with logistic‑related information. Conclusion: The 104 HIHL has played a critical role in sustaining health‑care delivery during the pandemic, combating the “infodemic” and guiding the general public by providing authentic information.
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Background: Self-medication is a very common practice which is gradually spreading all over the world. Analgesics are the most commonly available over the counter (OTC) drugs. They are used for pain relief in many diseases. Use of these analgesics has become a serious ailment because self- medication practices of analgesic drugs are increasing among general population as well as medical students. Being future medical practitioners, self-medication has a special impact in medical students. Various data are available regarding usage of OTC analgesic drugs but still data in Jharkhand are lacking. So, the present study aims to provide an insight into the practice of OTC analgesics among 3rd and 4th year medical students in RIMS, Ranchi, Jharkhand.Methods: It was a cross-sectional study conducted among medical students in RIMS, Ranchi, Jharkhand in November-December 2018. Data were collected through questionnaire filled by the students and results were expressed as percentage frequency.Results: Questionnaire were filled completely by 253 students out of 287 students. 85.8% of males and 90.41% of females were practicing self-medication. Advice from seniors and books were the major source of information about the drugs. Paracetamol was the most common drug used (54.87%) and headache (27.43%) was the most common indication. Mild nature of illness (30.34%) and quick relief (29.10%) were the most common reason of self-medication. About 83.39% of them were using these drugs according to need.50.98% had not felt any side effects. 51.38% students were of the view that self-medication practices are not always acceptable.Conclusions: Medical students use OTC analgesics for various kinds of pain like headache, muscle pain, menstrual pain etc. They generally use different non-steroidal anti-inflammatory drugs (NSAIDS) among which paracetamol is the most common. But self-medication practices are always associated with some risks. So, the students must be educated properly regarding their rational use and advantages and disadvantages of OTC drugs.
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AIMS: Cross sectional observational comparative study in a tertiary care hospital on Relation between Ischemic Heart Disease among Physically Active Tribal's of Jharkhand presenting with chest discomfort. MATERIALAND METHODS: 102 physically active Tribal subjects (53 male and 49 female) were selected for the study, who had presented with chest discomfort. RESULTS:The incidence of I.H.D. is 1.41% among tribal population of Jharkhand. The incidence was found exclusively in tribal female living in urban area mostly due to adopting sedentary pattern of life style. CONCLUSION:The tribal population of Jharkhand has inversely proportional relation to Ischemic Heart Disease and physical activity.
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Preventing maternal death associated with pregnancy and child birth is one of the greatest challenges for India. Approximately 55,000 women die in India due to pregnancy- and childbirth- related conditions each year. Increasing the coverage of maternal and newborn interventions is essential if Millennium Development Goals (MDG) 4 and 5 are to be reached. With a view to accelerate the reduction in maternal and neonatal mortality through institutional deliveries, Government of India initiated a scheme in 2005 called Janani Suraksha Yojna (JSY) under its National Rural Health Mission (NRHM). In Jharkhand the scheme is called the Mukhya Mantri Janani Shishu Swasthya Abhiyan (MMJSSA). This paper focuses on community perspectives, for indentifying key areas that require improvement for proper implementation of the MMJSSA in Jharkhand. Qualitative research method was used to collect data through in-depth interviews (IDIs) and focus group discussions (FGDs) in six districts of Jharkhand- Gumla, West Singhbhum, Koderma, Deoghar, Garhwa, and Ranchi. Total 300 IDIs (24 IDIs each from mother given birth at home and institution respectively; two IDIs each with members of Village Health and Sanitation Committees (VHSC) / Rogi Kalyan Samitis (RKS) from each district) and 24 FGDs (four FGDs were conducted from pools of husbands, mothers-in-law and fathers-in-law in each district) were conducted. Although people indicated willingness for institutional deliveries (generally perceived to be safe deliveries), several barriers emerged as critical obstacles. These included poor infrastructure, lack of quality of care, difficulties while availing incentives, corruption in disbursement of incentives, behavior of the healthcare personnel and lack of information about MMJSSA. Poor (and expensive) transport facilities and difficult terrain made geographical access difficult. The level of utilization of maternal healthcare among women in Jharkhand is low. There was an overwhelming demand for energizing sub-centers (including for deliveries) in order to increase access to maternal and child health services. Having second ANMs will go a long way in achieving this end. The MMJSSA scheme will thus have to re-invent itself within the overall framework of the NRHM.
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The epidemiological and entomological investigations were carried out in 18 tribal villages of Godda district of Jharkhand state revealed average slide positivity rate (SPR) 9.9% and slide positivity rate for Plasmodium falciparum (SfR) 5.0%, respectively. P. falciparum was the dominant parasite accounting 51.2 per cent of the total infections. All the villages are situated in the deep forest and forest fringes. A total of 416 blood slides were collected and examined. Out of which 41 slides were found positive for malaria parasite (21 positive for P. falciparum and 20 positive for P. vivax). All the positive cases were treated with Blister Packs of anti-malarial of chloroquine and primaquine as per NBVDCP schedule to prevent further transmission of malaria, which were available. Rapid diagnostic Kits were used selectively only on the recommendation of the Physician/Medical Officer. Results of house to house fever survey indicated the presence of high percentage of symptomatic carriers of malaria parasites in the local population and in our study Pf % is more than reported data by District Malaria Office, Godda district, Jharkhand. In entomological studies, for mosquito fauna with reference to both Anopheline, 11 species belonging to one genus Anopheles were collected and identified during the survey; among them some species were most prevalent. A total of 599 mosquitoes were recorded and average density of mosquitoes recorded was 13.19 in human dwellings and 86.11 in cattle sheds.