ABSTRACT
We investigated two sequential outbreaks of severe diarrhoea in two neighbouring villages of Orissa, in 2005. We conducted descriptive and matched case-control studies. The attack rates were 5.6% (n=62) and 5.2% (n=51), respectively, in the first and second villages. One death was reported in the second village (case fatality 2%). We identified that consumption of milk products prepared in the household of the index case [matched odds ratio (mOR) 5.7, 95% confidence interval (CI) 1.7-30] in the first village, and drinking well water in the second village were associated with the illness (mOR 4.7, 95% CI 1.6-19). We isolated Vibrio cholerae El Tor O1 Ogawa from stool samples from both the villages. Mishandling of milk products led to a cholera outbreak in the first village, which led to sewerage contamination of a well and another outbreak in the second village. Environmental contamination should be expected and prevented during cholera outbreaks.
Subject(s)
Cholera/epidemiology , Cholera/transmission , Disease Outbreaks , Adolescent , Adult , Aged , Animals , Case-Control Studies , Cattle , Child , Child, Preschool , Cholera/microbiology , Female , Humans , India/epidemiology , Infant , Male , Middle Aged , Milk/microbiology , Time Factors , Vibrio cholerae/classification , Water Microbiology , Young AdultABSTRACT
PIP: Sulabh has been involved in research, training, and development in rural areas of 16 states and 2 union territories of India. There are 837 Sulabh branches operating in 301 districts. The objectives vary within projects, but the general aim is to improve the community's sanitation and primary health practices through grass roots level organizing. This study measures the impact of Sulabh Swasthya Yojana (SSY) on attitudes in 3 different villages in Rojoari district of Jammu region in December 1990. The villages included Tatapani, where Sulabh had been active since January 1990, an adjoining village, and a village 30 km away from the adopted village. 50 households from each village were interviewed. The findings were that a much higher percentage of people in the adopted village (81.96%) had a positive attitude toward family planning (FP), pre- and postnatal care, care of the female child, trench latrines, smokeless chulhas, and kitchen gardens. In nonadopted villages there were only 50.3% with positive attitudes, but 70.07% in adjoining villages were supportive. There were few differences in scores between Muslims and Hindus in these 2 villages. Both population groups had higher scores in adopted villages than nonadopted villages. The mean attitude scores showed that 78% of the people in the adopted village had a positive attitude toward FP. The mean attitude score for the adjoining village was 66.36% and 49.6% in the nonadopted village. Scores for pre- and postnatal care were 30% higher in the adopted village and 20% higher for the adjoining village than the nonadopted village. A favorable attitude toward late marriage and higher education of girls was expressed by 81.6% in the adopted village, 76.6% in the adjoining village, and 48.8% in the nonadopted village. All villages supported son preference. Only 43.3% supported sanitary practices in the nonadopted village, while 87.7% supported sanitary practices in the adopted village and 77.6% showed support in the adjoining village. The conclusion is that SSY has had a positive impact on people. The prerequisites for achieving Health for All are identified as appropriate IEC, motivators, resources, and community participation.^ieng
Subject(s)
Attitude , Community Health Workers , Evaluation Studies as Topic , Family Planning Services , Health Planning , Information Services , Nuclear Family , Prenatal Care , Sanitation , Sex , Women's Rights , Asia , Behavior , Delivery of Health Care , Developing Countries , Economics , Family Characteristics , Family Relations , Health , Health Personnel , Health Services , India , Maternal Health Services , Maternal-Child Health Centers , Organization and Administration , Primary Health Care , Psychology , Public Health , Social Planning , Social Values , Socioeconomic FactorsABSTRACT
PIP: Aspects of discrimination against women in India are summarized, a case study of a rural district in Orissa is presented, and the article follows with a suggested 3-part strategy of education, employment and appropriate technology. The economic role played by women is difficult to quantitate because of their lifestyle that combines domestic work and unpaid family or low-paid outside farm or cottage industry labor. Besides these tasks, women usually care for dairy animals, and carry water and firewood. Discrimination against women in this system is evident, however, from some available statistics. 46% of women, as opposed to 20% of men, work as agricultural laborers. Women are denied education because they are not expected to do responsible work, then they are denied employment because they are not educated. Their work is counted as worth only half that of men, and based on this assumption, they are paid less then men. The male heads of 124 households in 7 villages in the Orissa area were interviewed to study labor participation of household members. 89% of the people worked in agriculture, 94% in rice paddy and 6% in oilseed or pulses for cash crops. The average farm size was 2.29 acres. Female literacy had risen to 14.3% from 1% 10 years before. Women usually worked in transplantation, weeding, harvesting and threshing, but also in heavier farm labor, construction of roads and buildings, quarrying and forestry. In this poor, hilly region, the custom of purdah was not practiced to the extent of keeping women from doing day labor outside the home. The authors' suggested strategy for women's development included appropriate technology such as the Gobar methane gas plant, provision of credit for women's industries, retention of girls in school and literacy programs for girls and women, and higher wages for women.^ieng
