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Prevalence of Depression and its determinants among undergraduate Medical college students in Salem, Tamil Nadu 泰米尔纳德邦塞勒姆医学院本科生抑郁症患病率及其决定因素
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.012
Suruthi Ramu, G. Dhanasekar, Gautam Babu, Mohan Kumar, Jeevithan Shanmugam
Background: Stress is an essential determinant of depression, leading to a greater prevalence of depression among medical students than the general population; a vulnerable subgroup. The objective of the present study was to determine the prevalence of depression and its associated factors among undergraduate medical students. Methods: This was an analytical cross-sectional study conducted among medical college students in Salem, Tamil Nadu between October 2021, and December 2022. Beck’s Depression Inventory (BDI) was used. Results: The prevalence of depression among undergraduate medial students was 27.0%; 10.2% had mild depression, 5.4% had borderline clinical depression, 8.5% had moderate depression, 2.4% had severe depression, and 0.5% had extreme depression. Multivariate logistic regression analysis showed that presence of separated or divorced or single parent, being in Phase II, without satisfactory academic performance, presence of active or chief complaints, conflicts in the family, and recent failures were independent predictors of depression among undergraduate medical students (p<0.05). Conclusion: It is crucial that medical schools prioritize the mental health of their students and provide appropriate resources and support.
背景:压力是抑郁症的重要决定因素,导致医学生中抑郁症的发病率高于普通人群;医学生是一个脆弱的亚群体。本研究旨在确定本科医学生中抑郁症的患病率及其相关因素。研究方法这是一项横断面分析研究,研究对象是 2021 年 10 月至 2022 年 12 月期间泰米尔纳德邦塞勒姆的医学院学生。采用贝克抑郁量表(BDI)。研究结果医学院本科生的抑郁症患病率为 27.0%;10.2% 患有轻度抑郁症,5.4% 患有临床边缘抑郁症,8.5% 患有中度抑郁症,2.4% 患有重度抑郁症,0.5% 患有极度抑郁症。多变量逻辑回归分析表明,父母分居或离异或单亲、处于第二阶段、学习成绩不理想、有主诉或主诉、家庭中存在冲突以及最近的失败是医科本科生抑郁症的独立预测因素(P<0.05)。结论医学院必须优先考虑学生的心理健康,并提供适当的资源和支持。
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引用次数: 0
Prevalence of Sexually transmitted infections in females attending community health centres in the rural area of Dehradun, India 印度德拉敦农村地区社区保健中心就诊女性的性传播感染流行率
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.011
Garima Mittal, Rajender Singh, Sangeeta Rawat, B. Kakati, Rahul Pal
Background: Sexually transmitted infections (STIs) and reproductive tract infections (RTIs) are major public health concerns, particularly among women. Aims & Objectives: The primary aim of this cross-sectional study was to determine the prevalence of laboratory-confirmed RTIs/STIs in a sample of 228 self-reported females aged 14-55 visiting community health centers. Additionally, the study sought to explore the correlation between these infections and clinical features. Material & Methods: The study included 228 females aged 14-55 visiting the STI clinic in Doiwala Block, Dehradun. Vaginal/cervical swab and blood specimens were collected after obtaining informed written consent. Specimens were processed at HIMS using standard microbiological methods to diagnose various STDs. Results: The study found that 50% of females attending community health centers had laboratory-confirmed RTIs/STIs. Bacterial vaginosis was the most prevalent infection (25.9%), followed by candidiasis (24.6%), Trichomonas vaginalis (2.6%), and syphilis (1.3%). Neisseria gonorrhoeae and Chlamydia trachomatis were not detected. Notably, there was a significant association between the prevalence of RTI/STI and the literacy status, occupation, and socioeconomic status of the respondents. Conclusion: This study highlights a high prevalence of RTIs/STIs among females in a rural area of Doiwala Block, Dehradun. Bacterial vaginosis and candidiasis were the most common infections. The findings underscore the importance of targeted interventions and education to address this public health issue, particularly among women with lower socioeconomic status and literacy levels.
背景:性传播感染(STI)和生殖道感染(RTI)是主要的公共卫生问题,尤其是在妇女当中。目的与目标:这项横断面研究的主要目的是确定在社区卫生中心就诊的 228 名 14-55 岁女性样本中经实验室确诊的 RTI/STI 的患病率。此外,该研究还试图探讨这些感染与临床特征之间的相关性。材料与方法:研究对象包括 228 名前往德拉敦 Doiwala 区性传播感染诊所就诊的 14-55 岁女性。在获得知情书面同意后,采集了阴道/宫颈拭子和血液标本。标本由 HIMS 使用标准微生物学方法进行处理,以诊断各种性传播疾病。结果研究发现,在社区卫生中心就诊的女性中,50%患有实验室确诊的 RTI/性传播感染。细菌性阴道病是最常见的感染(25.9%),其次是念珠菌病(24.6%)、阴道毛滴虫(2.6%)和梅毒(1.3%)。淋病奈瑟菌和沙眼衣原体未检出。值得注意的是,RTI/性传播感染的发病率与受访者的文化程度、职业和社会经济地位之间存在明显的关联。结论这项研究表明,德拉敦 Doiwala 区农村地区的女性 RTI/STI 感染率很高。细菌性阴道病和念珠菌病是最常见的感染。研究结果强调了采取有针对性的干预措施和教育来解决这一公共卫生问题的重要性,尤其是在社会经济地位和文化水平较低的妇女中。
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引用次数: 0
Knowledge, attitude, practice, and generation of electronic waste (e-waste) among students of health sciences in a private college in Pune 浦那一所私立学院健康科学专业学生对电子垃圾(e-waste)的认识、态度、做法和产生情况
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.018
Pranav S Kshtriya, Raghupathy Anchala
Background: In "the era of information," e-waste is a major threat to solid waste management and public health. E-waste contains dangerous and destructive compounds that may affect the environment and human health if not properly handled. The objective of the study was to assess the knowledge, attitude, practice on e-waste and to determine e-waste generation rates for two electronic products: computers and cell (mobile) phones among health science students of the Symbiosis Institute of Health Sciences, Pune. Methodology: A web-based and institution-based cross-sectional study of students pursuing different health science courses was conducted. Out of 680 students, 405 were randomly selected, dispersed in six strata, and the Google questionnaire was disseminated using a proportionate probability to size ratio, with 188 participants responding at a 46.41% response rate. Results: Out of 188 respondents, 95 (50.6%) and 77 (41.2%) study subjects knew about the health and environmental risks associated with e-waste. Physical damage caused 126 (67%) of the research participants to replace their electronics. 67% would learn about e-waste management if it were on the course. 66% purchase 1-3 electronics devices every year, while 23% purchase 4-6. Overall e-waste generation rates among the participants were 0.223 units/capita/year for computers and 0.42 units/capita/year for mobile phones. Conclusion: This research reveals a lack of understanding and behaviours related to e-waste among students of health sciences, highlighting the need for health education on e-waste for public health and awareness on safe e-waste disposal, both of which are critical for a risk-free future.
背景:在 "信息时代",电子废物是固体废物管理和公众健康的一大威胁。电子废物含有危险和破坏性化合物,如果处理不当,可能会影响环境和人类健康。本研究旨在评估普纳共生健康科学学院健康科学专业学生对电子垃圾的认识、态度和做法,并确定电脑和手机两种电子产品的电子垃圾产生率。研究方法:对修读不同健康科学课程的学生进行了基于网络和院校的横截面研究。在 680 名学生中,随机抽取了 405 名,分散在六个阶层,并采用概率与规模比例法分发了谷歌问卷,188 名参与者作了回复,回复率为 46.41%。结果:在 188 名受访者中,分别有 95 人(50.6%)和 77 人(41.2%)了解电子垃圾对健康和环境造成的危害。126(67%)名研究对象因电子产品的物理损坏而更换了电子产品。如果有电子废物管理课程,67% 的人会学习。66% 的人每年购买 1-3 件电子产品,23% 的人每年购买 4-6 件。参与者的总体电子废物产生率为:电脑 0.223 台/人/年,手机 0.42 台/人/年。结论这项研究揭示了健康科学专业的学生缺乏对电子废物的了解和相关行为,强调了为公众健康开展电子废物健康教育和提高安全处置电子废物意识的必要性,这两点对于实现无风险的未来至关重要。
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引用次数: 0
Water, Sanitation, and Hygiene: A Global Imperative for Health 水、环境卫生和个人卫生:全球健康的当务之急
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.022
Surekha Kishore, V. U, Shikhar Kishore Verma, Shival Kishore Verma, Parteek Walia
Clean water, proper sanitation, and hygiene (WASH) can have a significant impact on human health. Lack of financial resources prevent developing nations from making investments in WASH infrastructure, such as water treatment plants and sanitation facilities. Achieving universal access to clean water and sanitation is hampered by poor governance and insufficient policy frameworks. Governments, civil society organizations, and the private sector need to collaborate to invest in infrastructure and technology, promote good hygiene practices, and undertake education and awareness-raising programmes in order to ensure that everyone has access to clean water and sanitation.
清洁水、适当的环境卫生和个人卫生(WASH)对人类健康有重大影响。由于缺乏财政资源,发展中国家无法对水处理厂和卫生设施等讲卫生运动基础设施进行投资。治理不善和政策框架不足阻碍了清洁水和卫生设施的普及。各国政府、民间社会组织和私营部门需要合作,对基础设施和技术进行投资,推广良好的个人卫生习惯,并开展教育和提高认识计划,以确保人人都能获得清洁水和卫生设施。
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引用次数: 0
A call for more nuanced approaches to understanding selfie use among medical students 呼吁采取更细致的方法了解医学生使用自拍的情况
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.025
Parth DevMurari
I am writing to express my views on the recently published article titled "Assessment of Selfie Addiction Among Undergraduate Medical Students" in your esteemed journal. As an assistant professor in a physiotherapy college with eight years of experience, I have been closely working with undergraduate medical students to improve their physical well-being and mental health. Given the rising trend of social media use among students, including the excessive use of selfies, I strongly believe that it is important to critically evaluate the potential consequences of such behaviour. My experience in the field of physiotherapy has allowed me to observe the negative impact of excessive social media use on both physical and mental health.
最近,贵刊发表了一篇题为 "医科本科生自拍成瘾评估 "的文章,我想就这篇文章发表自己的看法。作为一名拥有八年经验的物理治疗学院助理教授,我一直与本科医学生密切合作,以改善他们的身体健康和心理健康。鉴于学生使用社交媒体(包括过度使用自拍)的趋势不断上升,我坚信批判性地评估这种行为的潜在后果非常重要。我在物理治疗领域的经验使我能够观察到过度使用社交媒体对身心健康的负面影响。
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引用次数: 0
Sibling Authors Propose Bipolar Disorder Of Publishing Biomedical Research: With MEDLINE Footprint Imploding And Retraction Footprint Fudging, Can Pursuit For PubMed® Footprint Challenge Humane Human Imprinting By Physician Scientists? 兄弟姐妹作者提出生物医学研究出版的两极分化问题:随着 MEDLINE 版图的膨胀和撤稿版图的伪造,对 PubMed® 版图的追求能否挑战医生科学家的人性化版图?
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.024
Divya Gupta, Deepak Gupta
With continents and oceans in-between, sibling authors, one from a BRICS (Brazil, Russia, India, China, South Africa) nation and other from a G7 (Canada, England, France, Germany, Italy, Japan, United States) nation, propose christening bipolar disorder of publishing biomedical research.
在各大洲和大洋之间,两位作者,一位来自金砖五国(巴西、俄罗斯、印度、中国、南非),另一位来自七国集团(加拿大、英国、法国、德国、意大利、日本、美国),提议对生物医学研究出版的两极失调进行洗礼。
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引用次数: 0
Occupational stress among community health workers in a rural field practice area of Belagavi 贝拉加维农村地区社区卫生工作者的职业压力
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.017
Sriram T R, Rajesh Kulkarni, Asha Bellad, Abhinandan R. Wali
Introduction: Community health workers (CHW) are the first level of contact between the health system and the community. This study aimed to find out the level and areas of occupational stress among CHWs so that they can be addressed accordingly. Methods: This study was carried out among 105 CHWs in a rural field practice area of Belagavi. A pre-tested, structured, standard questionnaire was provided to them. After obtaining informed consent, they were asked to fill in the questionnaire. The collected data was entered and analysed through SPSS Version 26. Results: The mean age of the participants was 41.91 years. Majority were Hindu (79.1%). Most of the participants had completed high school (51.4%). 25.7% of the participants belonged to socioeconomic class IV, 34.3% said that theirs is the only income in the family, and 22.9% said that salary is the motivation for them to continue working. Among the participants, 16.19% had low stress, 80.95% moderate stress, and 2.85% high stress. The major area of stress was role overload (18.3%). Conclusion: CHWs are vital for the efficient functioning of primary health services at community level and their role in healthcare and the delivery of various national health programmes is indispensable, so their health and proper work environment should be ensured and safeguarded.
导言:社区保健员(CHW)是卫生系统与社区之间的第一级接触者。本研究旨在了解社区卫生工作人员职业压力的程度和领域,以便对症下药。研究方法本研究在 Belagavi 农村地区的 105 名社区保健员中进行。向他们提供了一份预先测试过的、结构化的标准问卷。在获得知情同意后,要求他们填写问卷。收集到的数据通过 SPSS 26 版进行输入和分析。结果参与者的平均年龄为 41.91 岁。大多数人信奉印度教(79.1%)。大多数参与者完成了高中学业(51.4%)。25.7%的受访者属于社会经济四等,34.3%的受访者表示他们的收入是家庭的唯一收入,22.9%的受访者表示工资是他们继续工作的动力。在参与者中,16.19%的人压力较小,80.95%的人压力适中,2.85%的人压力较大。压力的主要方面是角色超负荷(18.3%)。结论社区保健员对社区基层医疗服务的有效运作至关重要,他们在医疗保健和各种国家医疗计划的实施中发挥着不可或缺的作用,因此应确保和保障他们的健康和适当的工作环境。
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引用次数: 0
Attitudes, patterns and awareness on the use of self-medication and non-doctor prescription methods among undergraduate medical, nursing and physiotherapy students of a tertiary care setting in south Gujarat 古吉拉特邦南部高等院校医学、护理和物理治疗专业本科生对使用自我药疗和非医生处方方法的态度、模式和认识
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.010
Sahil Singh, Divakar Balusamy, Anita Sinha, Mamtarani Verma, Dhairya Jain
Background: According to WHO Self-medication can be defined as the use of drugs to treat self-diagnosed disorders, or the intermittent or continued use of a prescribed drug for chronic or recurrent disease or symptoms. Aim & Objective: To assess and improve the level of awareness regarding self-medication non-prescription medicines and over the counter drugs, to assess the prevalence and determinants of self-medication practices among undergraduate students. Settings and Design: A cross-sectional study design was used to carry out a study at tertiary care centre. Methods and Material: Sociodemographic characteristics, self-medication knowledge and general questions on self-medication were asked from study participants. Statistical analysis used:  SPSS software version 26. Self-medication knowledge was scored and categorized as excellent/good and poor knowledge. Comparison of knowledge scores among medical, nursing and physiotherapy students was done using ANOVA test. Results: The prevalence of OTC drug usage was found out to be 304(79.4%). Highest prevalence was noted amongst medical students i.e., 186(83.4%) followed by nursing and physiotherapy students which were similar at 55(73.3%) and 63(74.4%) respectively. Mean knowledge scores of MBBS, nursing and physiotherapy students showed significant results with F-statistic value of 21.63 (p=0.00). Conclusions: Self-medication happens to be a common practice among medical and paramedical students.
背景:根据世界卫生组织的定义,自我药疗可定义为使用药物治疗自我诊断的疾病,或间歇或持续使用处方药治疗慢性或复发性疾病或症状。目的和目标:评估和提高大学生对自我药疗非处方药和非处方药的认识水平,评估自我药疗行为的普遍性和决定因素。环境与设计:采用横断面研究设计,在三级医疗中心开展研究。方法和材料:向参与者询问社会人口学特征、自我用药知识和有关自我用药的一般问题。使用统计分析: SPSS 软件 26 版。对自我药疗知识进行评分,并将其分为优/良和差。使用方差分析检验比较医科、护理和物理治疗专业学生的知识得分。结果非处方药使用率为 304(79.4%)。医科学生的使用率最高,为 186(83.4%)人,其次是护理专业学生和物理治疗专业学生,分别为 55(73.3%)人和 63(74.4%)人。医学学士、护理和物理治疗专业学生的平均知识得分显示出显著的结果,F 统计量值为 21.63(P=0.00)。结论自行用药在医科和辅助医疗专业学生中很常见。
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引用次数: 0
Gauging the Motivation Level of Health Personnel of a Tertiary Care Hospital in District Dehradun 衡量德拉敦地区一家三级医院医务人员的积极性水平
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.005
Neha Sharma, Ravinder Saini, J. Semwal, Shaili Vyas, Abhay Srivastava, Manish Chaturvedi
Background- Healthcare providers serve as the backbone of the healthcare delivery system, and motivating them is crucial for its enhancement, which is often a challenging task. Understanding the motivational factors that keep employees engaged is a pressing concern for leaders and senior personnel. Aims & Objectives: This study aimed to assess the motivation levels of healthcare personnel working in a tertiary healthcare institution in Dehradun, Uttarakhand. It sought to explore the various factors influencing employee motivation in the healthcare sector. Methodology: A cross-sectional study involved 150 healthcare personnel, and data analysis was conducted using Statistical Package for Social Sciences (SPSS) software and Microsoft Excel. Frequency percentages and mean standard deviations were used for categorical and continuous data, respectively. The Chi-Square test and Fischer Exact test were employed to assess relationships between categorical variables. Results: Among the study groups, technicians displayed the highest motivation levels, while doctors exhibited lower motivational indices. Across doctors, nurses, and technicians, "rewards" ranked as the top motivating factor. Health personnel identified monetary support, incentives, promotion, resource improvement, appreciation, feedback, communication, job security, training, teamwork, and effective management as significant motivational factors. Conclusion: Satisfied healthcare workers not only inspire their colleagues but also foster a positive work environment, enhancing the overall functioning of the institution. Employee motivation directly impacts the performance of healthcare organizations. Recognizing non-financial motivators, such as appreciation, teamwork, professional growth, and training, alongside financial incentives, is essential to maintaining a motivated and efficient healthcare workforce.
背景-- 医疗保健服务提供者是医疗保健服务体系的中坚力量,激励他们对提升医疗保健服务体系至关重要,而这往往是一项具有挑战性的任务。了解保持员工参与的激励因素是领导者和高级人员迫切需要关注的问题。目的与目标:本研究旨在评估在北阿坎德邦德拉敦一家三级医疗机构工作的医护人员的积极性水平。研究还试图探讨影响医疗保健行业员工积极性的各种因素。研究方法这项横断面研究涉及 150 名医疗保健人员,使用社会科学统计软件包(SPSS)和 Microsoft Excel 进行数据分析。分类数据和连续数据分别采用频率百分比和平均标准偏差。采用 Chi-Square 检验和 Fischer 精确检验来评估分类变量之间的关系。结果在研究小组中,技术人员的动机水平最高,而医生的动机指数较低。在医生、护士和技术人员中,"奖励 "是最重要的激励因素。医务人员认为,金钱支持、奖励、晋升、资源改善、赞赏、反馈、沟通、工作保障、培训、团队合作和有效管理是重要的激励因素。结论满意的医护人员不仅能激励他们的同事,还能营造积极的工作环境,提高医疗机构的整体运作能力。员工积极性直接影响医疗机构的绩效。在给予经济激励的同时,认可非经济激励因素,如赞赏、团队合作、专业成长和培训,对于维持一支积极高效的医疗保健员工队伍至关重要。
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引用次数: 0
Factors associated with Insomnia Severity Index among elderly participants 与老年参与者失眠严重程度指数相关的因素
IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-30 DOI: 10.47203/ijch.2023.v35i03.003
Manasi Panda, Chirag Sandooja, Vinod Kumar, Jugal Kishore
Background: Amongst various psychiatric disorders in the elderly, insomnia is one of the major challenges. Aims & Objectives: To assess the prevalence of insomnia and the factors associated with it among the elderly. Material & Methods: This cross-sectional study was conducted in a rural and an urban area of Delhi taking 115 participants from each area using systematic random sampling. A semi-structured questionnaire was to collect the data. Results: Out of 230 participants, 121 (52.6%) were females and 109 (47.4 %) were males. Insomnia was more prevalent in the elderly participants of rural area (95%) while just 5% were in the urban population. Out of the 230 participants, 113 (49.1%) had scores of 0-7 whereas 117 (50.9%) had scores between 8-28 which meant they had some degree of insomnia. Insomnia was significantly associated with the locality of the participants (p-value <0.05). Conclusion: In the present study, around half of the elderly persons were suffering from Insomnia. As the cause of insomnia is multi-factorial, it needs a multi-pronged approach to prevention which can be achieved by creating awareness, management, and prevention. Further, screening elderly persons for insomnia and health education regarding the importance of sleep hygiene practices should be started.
背景:在老年人的各种精神疾病中,失眠是主要挑战之一。目的与目标评估老年人失眠症的发病率及其相关因素。材料与方法:这项横断面研究在德里的一个农村地区和一个城市地区进行,采用系统随机抽样法,每个地区抽取 115 名参与者。采用半结构式问卷收集数据。研究结果在 230 名参与者中,121 人(52.6%)为女性,109 人(47.4%)为男性。失眠症在农村地区的老年参与者中更为普遍(95%),而在城市人口中仅占 5%。在 230 名参与者中,113 人(49.1%)的得分在 0-7 分之间,117 人(50.9%)的得分在 8-28 分之间,这意味着他们有一定程度的失眠。失眠与参与者的地区有明显关系(P 值小于 0.05)。结论在本研究中,约有一半的老年人患有失眠症。由于造成失眠的原因是多方面的,因此需要采取多管齐下的方法进行预防。此外,应开始对老年人进行失眠筛查,并就睡眠卫生习惯的重要性开展健康教育。
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引用次数: 0
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Indian Journal of Community Health
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