ABSTRACT
Reflecting on Storeng and Béhague ("Lives in the balance": the politics of integration in the Partnership for Maternal, Newborn and Child Health. Health Policy and Planning Storeng and Béhague (2016).) historical ethnography of the Partnership for Maternal, Newborn and Child Health (PMNCH), this commentary provides a more current account of PMNCH's trajectory since its inception in 2005. It highlights PMNCH's distinct characteristics and how it is positioned to play an instrumental role in the current global health landscape.
Subject(s)
Child Health Services/organization & administration , Maternal Health Services/organization & administration , Public-Private Sector Partnerships/organization & administration , Adolescent , Adult , Child , Developing Countries , Female , Humans , Infant , Infant, Newborn , PregnancySubject(s)
Delivery of Health Care/organization & administration , Health , Adolescent , Adolescent Health , Child , Child Health , Community Participation/methods , Cooperative Behavior , Delivery of Health Care/economics , Delivery of Health Care/legislation & jurisprudence , Developing Countries , Health Planning/organization & administration , Health Promotion/organization & administration , Health Services Accessibility , Humans , International Cooperation , Politics , Quality of Health Care/organization & administration , Women's Health , World Health Organization , Young AdultSubject(s)
Anthelmintics/administration & dosage , Communicable Disease Control/methods , Communicable Disease Control/organization & administration , Helminthiasis/drug therapy , Intestinal Diseases, Parasitic/drug therapy , Parasitic Diseases/drug therapy , Parasitic Diseases/epidemiology , Schools , Adolescent , Child , Female , Humans , India/epidemiology , Male , Parasitic Diseases/prevention & control , StudentsSubject(s)
Adolescent Health Services/organization & administration , Child Health Services/organization & administration , Global Health , Public Health , Women's Health Services/organization & administration , Women's Health , Adolescent , Adult , Child , Female , Health Policy , Humans , Leadership , Male , Pregnancy , Social Change , Socioeconomic FactorsABSTRACT
For negating the impact of early adversities on the development and ensuring a healthy, dynamic future for all children, Ministry of Health and Family Welfare in 2013 launched a programme for child health screening and early intervention services as Rashtriya Bal Swasthya Karyakram (RBSK) which aims to improve the quality of life with special focus on improving cognition and survival outcomes for "at risk" children. It has a systemic approach of prevention, early identification and management of 30 health conditions distributed under 4Ds: Defects at birth, Diseases, Deficiencies and Developmental delays including Disabilities spread over birth to 18 y of age in a holistic manner. There is a dedicated 4 member Mobile Health team for community screening and a dedicated 14 member team at District Early Intervention Center (DEIC) for comprehensive management. Existing health infrastructure and personnel are also integrated and utilized in this endeavor. Defects at birth are screened at Delivery points, home visits by accredited social health activist (ASHA), Anganwadi centers and at schools. Developmental delays are evaluated at DEIC through a multidisciplinary team with interdisciplinary approach. Five thousand four hundred eighteen dedicated Mobile Health teams have screened a total of 12.19 crore children till Dec.14. From April to Dec. 2014, 4.20 crore children were screened, of which birth to 6-y-old children were 2.13 crore while 2.07 crore were from 6 to 18 y. 17.7 lakh children were referred to tertiary centers and 6.2 lakh availed tertiary care. 50.7 lakhs were found positive for 4Ds; 1.35 lakhs were birth defects. RBSK is a step towards universal health care for free assured services.
Subject(s)
Child Health Services/organization & administration , Developmental Disabilities/diagnosis , Early Intervention, Educational/methods , Mass Screening/methods , Adolescent , Child , Child Health , Child, Preschool , Developmental Disabilities/therapy , Disabled Children , Humans , India , Infant , Quality of Life , Risk AssessmentABSTRACT
Coronary artery anomalies are found in 1-5% of all coronary angiograms. Single coronary artery is a rare congenital anomaly. The prevalence of the anomaly is 0.024-0.066% of the general population and percutaneous coronary intervention in this anomaly is performed infrequently. The highest incidence of this condition is reported from India. We report a case of a 55 year old patient of anterior wall ST elevation myocardial infarction with L1 group of single coronary artery who underwent successful angioplasty and stenting to left anterior descending artery. The unique features and inherent risks of percutaneous coronary intervention to single coronary artery are discussed.
Subject(s)
Coronary Vessel Anomalies/surgery , Coronary Vessels/surgery , Myocardial Infarction/surgery , Percutaneous Coronary Intervention/methods , Coronary Angiography , Coronary Vessel Anomalies/complications , Coronary Vessel Anomalies/diagnostic imaging , Humans , Male , Middle Aged , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/etiologyABSTRACT
Gingival hyperplasia can occur during use of drugs such as diphenylhydantoin, cyclosporine and nifedipine. We report, three cases of gingival hyperplasia induced by amlodipine, a second generation calcium channel blocker. Exact cause of induction of thehyperplasia is not known. Individual variation in metabolism of the drug may be a factor.
