Pub Date : 2021-12-31DOI: 10.51957/healthline_252_2021
M. Datta, Arista Lahiri
Introduction:Postpartum family planning (PPFP) is avoidance of closely spaced and unplanned pregnancies by use of family planning services within first year following delivery.World Health Organisation (WHO) reports postpartum women to have greatest unmet need of contraception. There is further recommendation to link immunisation clinics to PPFP services.Objectives:1. To assess the acceptance rate ofPPFPamong mothers attending immunisation clinic 2. To explore the determinants of usage, intention to use and PPFP methods used. 3. To find the reasons for non-acceptance ofPPFP among the study participants. Method:Study participants werewomen attendingimmunisation clinicof a tertiary level teaching hospital of Kolkatafor child’s immunisation service. Studydesign was cross sectional.Systematic random sampling technique was used to recruit participants. Data was collected by interviewer administered semi-structured questionnaire.Frequencies and percentages for categorical variables while mean and standard deviation for continuous variables were calculated. Crude Odds ratio with 95% confidence interval was calculated to explore strength of association between PPFP acceptance and independent variables.Results:About 1 in every 3 women (37.36%) was PPFP acceptor; intra uterine device was the most commonly used method. Odds of acceptance was lower for respondents’ age <25 years and primipara whileit was higher for exposure to counselling, having male child, resumption of sex and past use of contraception. Fear of adverse effects was the most common reason for non-acceptance of PPFP.Conclusions: PPFP acceptance was low, however among acceptors long acting reversible contraceptives were more commonly accepted methods. There is scope to improve PPFP acceptance with intensified contraceptive counselling during delivery and immediate hospital stay as women were afraid of adverse effects of contraceptives.
{"title":"Acceptance of Post-Partum Family Planning among Mothers Attending for Child Immunisation Services at Tertiary Care Hospital, Kolkata","authors":"M. Datta, Arista Lahiri","doi":"10.51957/healthline_252_2021","DOIUrl":"https://doi.org/10.51957/healthline_252_2021","url":null,"abstract":"Introduction:Postpartum family planning (PPFP) is avoidance of closely spaced and unplanned pregnancies by use of family planning services within first year following delivery.World Health Organisation (WHO) reports postpartum women to have greatest unmet need of contraception. There is further recommendation to link immunisation clinics to PPFP services.Objectives:1. To assess the acceptance rate ofPPFPamong mothers attending immunisation clinic 2. To explore the determinants of usage, intention to use and PPFP methods used. 3. To find the reasons for non-acceptance ofPPFP among the study participants. Method:Study participants werewomen attendingimmunisation clinicof a tertiary level teaching hospital of Kolkatafor child’s immunisation service. Studydesign was cross sectional.Systematic random sampling technique was used to recruit participants. Data was collected by interviewer administered semi-structured questionnaire.Frequencies and percentages for categorical variables while mean and standard deviation for continuous variables were calculated. Crude Odds ratio with 95% confidence interval was calculated to explore strength of association between PPFP acceptance and independent variables.Results:About 1 in every 3 women (37.36%) was PPFP acceptor; intra uterine device was the most commonly used method. Odds of acceptance was lower for respondents’ age <25 years and primipara whileit was higher for exposure to counselling, having male child, resumption of sex and past use of contraception. Fear of adverse effects was the most common reason for non-acceptance of PPFP.Conclusions: PPFP acceptance was low, however among acceptors long acting reversible contraceptives were more commonly accepted methods. There is scope to improve PPFP acceptance with intensified contraceptive counselling during delivery and immediate hospital stay as women were afraid of adverse effects of contraceptives.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45838548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_248_2021
Bhavesh Modi, Mallika V. Chavada, J. Prajapati, D. Prajapati, Neha R. Bavarva, P. Mehta, Dharmishtha Gosai, Sachin Chandra Mohan, A. Rashmi, D. Kiran, R. Kundapur
Introduction: Among children, one of the most serious public health challenges of the 21st century is childhood obesity, namely central obesity. This increases the risk of cardiovascular disease and diabetes. Studies show that, children who are physically active are less likely to have central obesity making it a key element in the prevention and treatment of both chronic diseases. Objectives: To assess the baseline knowledge and post-interventional knowledge of the students and teachers on the physical activity; to assess the utility and acceptability of the intervention module. Methods: An interventional study in 2 schools by administering tests prior to and after giving a class on the importance of physical activity and focused group discussion with teachers to assess the utility and acceptability of intervention. Data analysed using SPSS software, tabulated and interpreted by applying statistical tests. Results: Among the 120 students who participated, a significant increase in knowledge regarding the need for physical activity after health education was observed. Conclusion: Health education approach in schools was found to be effective and feasible in improving the knowledge and behavioural practices regarding physical activity among adolescents to reduce childhood obesity and to improve overall health.
{"title":"Use of Physical Activity Module as an Intervention to Enhance Knowledge among High School Children – A Pilot Study","authors":"Bhavesh Modi, Mallika V. Chavada, J. Prajapati, D. Prajapati, Neha R. Bavarva, P. Mehta, Dharmishtha Gosai, Sachin Chandra Mohan, A. Rashmi, D. Kiran, R. Kundapur","doi":"10.51957/healthline_248_2021","DOIUrl":"https://doi.org/10.51957/healthline_248_2021","url":null,"abstract":"Introduction: Among children, one of the most serious public health challenges of the 21st century is childhood obesity, namely central obesity. This increases the risk of cardiovascular disease and diabetes. Studies show that, children who are physically active are less likely to have central obesity making it a key element in the prevention and treatment of both chronic diseases. Objectives: To assess the baseline knowledge and post-interventional knowledge of the students and teachers on the physical activity; to assess the utility and acceptability of the intervention module. Methods: An interventional study in 2 schools by administering tests prior to and after giving a class on the importance of physical activity and focused group discussion with teachers to assess the utility and acceptability of intervention. Data analysed using SPSS software, tabulated and interpreted by applying statistical tests. Results: Among the 120 students who participated, a significant increase in knowledge regarding the need for physical activity after health education was observed. Conclusion: Health education approach in schools was found to be effective and feasible in improving the knowledge and behavioural practices regarding physical activity among adolescents to reduce childhood obesity and to improve overall health.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46211140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_267_2021
S. Saxena, Puneet Gupta, A. Srivastava, S. Maheshwari
Introduction: Anemia is a sign of serious disease at all ages; but in elderly population it is especially true. According to epidemiologic data, its prevalence rises with increasing age sharply after the age of 60years. Method: To evaluate the prevalence of anemia and its determinants among older age group in Uttarakhand, NFHS-IV (2015-16) data was used. For socio demographic analysis, study included 7056 individuals (After excluding missing information) aged 60 years and above. Results: The median age was 66.38years (range,60–95years). The mean levels of hemoglobin (Mean ± SD) were 14.23 ± 1.29 g/dL in men and13.75 ± 1.15 g/dL in women, and the overall prevalence of anemia was 36.42% (2502/6870):In men the prevalence was 36.86 % (2096/5687) and 34.32% (406/1183)in Women. The Prevalence in age group 60–69, 70–79 and ≥80 was 35.2%, 38.1% and 41.2% respectively. It was found that the prevalence of anemia differed significantly between those of age 60–69 and 70–79 years, those of age 60–69 and ≥80 years, and those of age 70–79 years and ≥80 years.Conclusions: The prevalence of anemia among elderly people of Uttarakhand was determined to be 35.9% and it increased with age. Male sex, older age, low BMI, low education and nuclear family were identified as independent risk factors of anemia among the elderly Indians.
{"title":"Prevalence of Anemia and its Determinants among Elderly People of Uttarakhand, India","authors":"S. Saxena, Puneet Gupta, A. Srivastava, S. Maheshwari","doi":"10.51957/healthline_267_2021","DOIUrl":"https://doi.org/10.51957/healthline_267_2021","url":null,"abstract":"Introduction: Anemia is a sign of serious disease at all ages; but in elderly population it is especially true. According to epidemiologic data, its prevalence rises with increasing age sharply after the age of 60years. Method: To evaluate the prevalence of anemia and its determinants among older age group in Uttarakhand, NFHS-IV (2015-16) data was used. For socio demographic analysis, study included 7056 individuals (After excluding missing information) aged 60 years and above. Results: The median age was 66.38years (range,60–95years). The mean levels of hemoglobin (Mean ± SD) were 14.23 ± 1.29 g/dL in men and13.75 ± 1.15 g/dL in women, and the overall prevalence of anemia was 36.42% (2502/6870):In men the prevalence was 36.86 % (2096/5687) and 34.32% (406/1183)in Women. The Prevalence in age group 60–69, 70–79 and ≥80 was 35.2%, 38.1% and 41.2% respectively. It was found that the prevalence of anemia differed significantly between those of age 60–69 and 70–79 years, those of age 60–69 and ≥80 years, and those of age 70–79 years and ≥80 years.Conclusions: The prevalence of anemia among elderly people of Uttarakhand was determined to be 35.9% and it increased with age. Male sex, older age, low BMI, low education and nuclear family were identified as independent risk factors of anemia among the elderly Indians.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42193270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_238_2021
S. Misra, Nilesh C. Fichadiya
Introduction:The attitude of the students and the reasons for choosing a career, medicine in particular are of importance as input for educators to create a medical graduate.Objectives:To get an account of medical students’ reasons for choosing medicine and to document qualities of a good doctor as perceived by them. Method: Cross-sectional study was conducted through self-administered & semi- structuredquestionnaire in August 2019, at a government run Medical College of India to a batch of 200 students. Results: Majority of students were involved in some kind of sports. Honesty, good communication skills, desire to serve humanity, patience were qualities of good doctor quoted by majority of them while compassion, empathy, clinical acumen was mentioned by less than half of them. Majority of them listed self-interest or passion as the predominant reason to choose medicine as a career.A fifth of the students mentioned influence of Family or Parents as reasons to join the course. Conclusion: Compassion, empathy, Clinical acumen as qualities of a good doctor was mentioned by less than half of them. During the one month foundation program and professionalism modules the areas identified can be stressed upon.
{"title":"Profile and Career Decisions of First Year Medical Students Studying at a College Located in western India","authors":"S. Misra, Nilesh C. Fichadiya","doi":"10.51957/healthline_238_2021","DOIUrl":"https://doi.org/10.51957/healthline_238_2021","url":null,"abstract":"Introduction:The attitude of the students and the reasons for choosing a career, medicine in particular are of importance as input for educators to create a medical graduate.Objectives:To get an account of medical students’ reasons for choosing medicine and to document qualities of a good doctor as perceived by them. Method: Cross-sectional study was conducted through self-administered & semi- structuredquestionnaire in August 2019, at a government run Medical College of India to a batch of 200 students. Results: Majority of students were involved in some kind of sports. Honesty, good communication skills, desire to serve humanity, patience were qualities of good doctor quoted by majority of them while compassion, empathy, clinical acumen was mentioned by less than half of them. Majority of them listed self-interest or passion as the predominant reason to choose medicine as a career.A fifth of the students mentioned influence of Family or Parents as reasons to join the course. Conclusion: Compassion, empathy, Clinical acumen as qualities of a good doctor was mentioned by less than half of them. During the one month foundation program and professionalism modules the areas identified can be stressed upon.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43511321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_287_2021
Priyanka, Prasann Rasania, Kuldip Kumar, S. Rasania
Introduction: Organ shortage is a global issue. As future doctors, role of medical students becomes important in promoting organ donation. Objectives: 1. To study the knowledge of medical students regarding organ donation 2. To study the beliefs of medical students regarding various aspects of organ donation 3.To study their perceptions about the need to have a training on this topic. Method: The study design was cross sectional involving undergraduate medical students from a teaching institute of Delhi. Sample size of 296 was calculated and 60 students were randomly recruited from each year by using random number tables. Data collection was done by using a pre designed pre tested semi structured questionnaire. Data entry and analysis was done by using Microsoft Excel and SPSS version 20 software. Results: A large proportion of 95.3% (286) had heard of ‘organ donation’ but correct knowledge regarding ideal age for donation and brain dead people for donation was very poor. It was significantly poorer in males and those studying in earlier years of graduation (p<0.05). A very small proportion (14.7%) had actually pledged for donation. A large proportion of students were in favour of providing health insurance and financial compensation for live organ donors. Only 27% perceived to have adequate knowledge and 58% felt confident in counselling potential donors for organ donation. Females and senior students were significantly better in this aspect. (p< 0.05). Majority of them (90.3%) felt the need for training. Conclusion: Knowledge and some of the beliefs of medical students regarding organ donation were not found to be appropriate and training about it was desired by them.
{"title":"Knowledge and Beliefs about Organ Donation among Under-Graduate Medical Students at a Teaching Institute of New Delhi","authors":"Priyanka, Prasann Rasania, Kuldip Kumar, S. Rasania","doi":"10.51957/healthline_287_2021","DOIUrl":"https://doi.org/10.51957/healthline_287_2021","url":null,"abstract":"Introduction: Organ shortage is a global issue. As future doctors, role of medical students becomes important in promoting organ donation. Objectives: 1. To study the knowledge of medical students regarding organ donation 2. To study the beliefs of medical students regarding various aspects of organ donation 3.To study their perceptions about the need to have a training on this topic. Method: The study design was cross sectional involving undergraduate medical students from a teaching institute of Delhi. Sample size of 296 was calculated and 60 students were randomly recruited from each year by using random number tables. Data collection was done by using a pre designed pre tested semi structured questionnaire. Data entry and analysis was done by using Microsoft Excel and SPSS version 20 software. Results: A large proportion of 95.3% (286) had heard of ‘organ donation’ but correct knowledge regarding ideal age for donation and brain dead people for donation was very poor. It was significantly poorer in males and those studying in earlier years of graduation (p<0.05). A very small proportion (14.7%) had actually pledged for donation. A large proportion of students were in favour of providing health insurance and financial compensation for live organ donors. Only 27% perceived to have adequate knowledge and 58% felt confident in counselling potential donors for organ donation. Females and senior students were significantly better in this aspect. (p< 0.05). Majority of them (90.3%) felt the need for training. Conclusion: Knowledge and some of the beliefs of medical students regarding organ donation were not found to be appropriate and training about it was desired by them.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47160088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_277_2021
N. Solanki, Parul Sharma, Rakesh Ninama
Introduction: Malnutrition is a key health problem in India and Gujarat. Mission BalamSukham was launched to overcome malnutrition. Facility-based management of malnutrition is one of two components of this program. Objectives: 1. To evaluate Strengths, Weaknesses, Opportunities and Challenges (or Threats) of Child Malnutrition Treatment Centre (CMTC) and Nutrition Rehabilitation Centre (NRC). 2. To project into areas that needs improvement to overcome the centres’ weaknesses and challenges. Method: In-depth interviews were taken for health workers and beneficiaries of NRC and CMTC of Patan district till saturation of responses. Transcripts were made and themes were analysed based on the SWOC matrix. Results: Major issues identified by the study were absence of continuous financial support to operationalize CMTCs selected under Gatishil Gujarat program, Absence of Paediatrician, lack of awareness regarding child nutrition over night stay at centre and quality of training. Conclusion: Some internal weaknesses and strengths were acknowledged. Only facility-based management of SAM children did not make a difference in community. Training of ASHA and Anganwadi worker about nutritional counselling, screening and monitoring of SAM child is needed to strengthen the community-based management of SAM children.
{"title":"Facility Based Management of Child Malnutrition- Lesson Learnt from a North Gujarat Study","authors":"N. Solanki, Parul Sharma, Rakesh Ninama","doi":"10.51957/healthline_277_2021","DOIUrl":"https://doi.org/10.51957/healthline_277_2021","url":null,"abstract":"Introduction: Malnutrition is a key health problem in India and Gujarat. Mission BalamSukham was launched to overcome malnutrition. Facility-based management of malnutrition is one of two components of this program. Objectives: 1. To evaluate Strengths, Weaknesses, Opportunities and Challenges (or Threats) of Child Malnutrition Treatment Centre (CMTC) and Nutrition Rehabilitation Centre (NRC). 2. To project into areas that needs improvement to overcome the centres’ weaknesses and challenges. Method: In-depth interviews were taken for health workers and beneficiaries of NRC and CMTC of Patan district till saturation of responses. Transcripts were made and themes were analysed based on the SWOC matrix. Results: Major issues identified by the study were absence of continuous financial support to operationalize CMTCs selected under Gatishil Gujarat program, Absence of Paediatrician, lack of awareness regarding child nutrition over night stay at centre and quality of training. Conclusion: Some internal weaknesses and strengths were acknowledged. Only facility-based management of SAM children did not make a difference in community. Training of ASHA and Anganwadi worker about nutritional counselling, screening and monitoring of SAM child is needed to strengthen the community-based management of SAM children.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46424721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.51957/healthline_269_2021
A. Srivastava, B. Mannapur, A. Dorle, Anjali Singh
Introduction: Birth weight is a reliable indicator of intrauterine growth and is one of the major factors that determine child survival and its physical and mental development. There is no indicator in human biology which tells us so much about the past events and the future life, as the weight of an infant at birth. Low birth weight (LBW) is still a major public health problem in developing countries and majority of it is seen in Africa and Asia. The prevalence of LBW in India has although reduced over the past decade, but it still remains high in some of the states of the country. Objective: To estimate the prevalence of Low birth weight and to study the maternal factors associated with it. Method: A Cross-sectional study was conducted in a village of north Karnataka from December 2015 to May 2017. Sample size calculated was 337. The study participants comprised of postnatal mothers with singleton live born baby. Weight of the newborn was recorded. Chi square test was used to find the association. Results: The prevalence of LBW was found to be 21.1%. A number of factors such as mother’s age, height, number of hours of rest, tobacco consumption, passive smoking, gravidity, parity, previous history of LBW, time of antenatal care (ANC) registration, haemoglobin, bad obstetric history, type of delivery and gestational age at delivery were found to be significantly associated with LBW. Conclusion: Adverse pregnancy outcome is the result of a multiple factors. Prevalence of LBW can be reduced by regular ANC, balanced diet and adequate rest during antenatal period, and avoiding tobacco consumption. Thus, it calls for overall improvement in the ANC.
{"title":"Maternal Factors Associated With the Birth Weight of the Babies in a Rural Area of North Karnataka: A Cross Sectional Study","authors":"A. Srivastava, B. Mannapur, A. Dorle, Anjali Singh","doi":"10.51957/healthline_269_2021","DOIUrl":"https://doi.org/10.51957/healthline_269_2021","url":null,"abstract":"Introduction: Birth weight is a reliable indicator of intrauterine growth and is one of the major factors that determine child survival and its physical and mental development. There is no indicator in human biology which tells us so much about the past events and the future life, as the weight of an infant at birth. Low birth weight (LBW) is still a major public health problem in developing countries and majority of it is seen in Africa and Asia. The prevalence of LBW in India has although reduced over the past decade, but it still remains high in some of the states of the country. Objective: To estimate the prevalence of Low birth weight and to study the maternal factors associated with it. Method: A Cross-sectional study was conducted in a village of north Karnataka from December 2015 to May 2017. Sample size calculated was 337. The study participants comprised of postnatal mothers with singleton live born baby. Weight of the newborn was recorded. Chi square test was used to find the association. Results: The prevalence of LBW was found to be 21.1%. A number of factors such as mother’s age, height, number of hours of rest, tobacco consumption, passive smoking, gravidity, parity, previous history of LBW, time of antenatal care (ANC) registration, haemoglobin, bad obstetric history, type of delivery and gestational age at delivery were found to be significantly associated with LBW. Conclusion: Adverse pregnancy outcome is the result of a multiple factors. Prevalence of LBW can be reduced by regular ANC, balanced diet and adequate rest during antenatal period, and avoiding tobacco consumption. Thus, it calls for overall improvement in the ANC.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70624383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.51957/healthline_245_2021
S. Devgan, S. Singh, Lokesh Sharma, Setu Sinha
Electronic Vaccine Intelligence Network (eVIN) is an indigenously developed technology which strives to digitise vaccine stocks and monitor the temperature of the cold chain through a smartphone based application. The platform supports the central government’s Universal Immunization Programme by providing real-time information on vaccine stocks, flows and storage temperatures across all cold chain points of the country.This vaccine logistics system has been introduced by the Ministry of Health and Family Welfare and implemented by the United Nations Development programmers. In terms of functionality, eVIN aims to provide an integrated solution to address constraints of infrastructure, monitoring and human resource, inadequate vaccine stocks and related challenges.
{"title":"eVIN: Role of Digitization in Improving the Efficiency of Vaccine Logistics System across India","authors":"S. Devgan, S. Singh, Lokesh Sharma, Setu Sinha","doi":"10.51957/healthline_245_2021","DOIUrl":"https://doi.org/10.51957/healthline_245_2021","url":null,"abstract":"Electronic Vaccine Intelligence Network (eVIN) is an indigenously developed technology which strives to digitise vaccine stocks and monitor the temperature of the cold chain through a smartphone based application. The platform supports the central government’s Universal Immunization Programme by providing real-time information on vaccine stocks, flows and storage temperatures across all cold chain points of the country.This vaccine logistics system has been introduced by the Ministry of Health and Family Welfare and implemented by the United Nations Development programmers. In terms of functionality, eVIN aims to provide an integrated solution to address constraints of infrastructure, monitoring and human resource, inadequate vaccine stocks and related challenges.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43330690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.51957/healthline_216_2021
G. Bhatt, A. Patel
Introduction: Medical Officer (MO) of an Urban Health Centre (UHC) is responsible for implementing all activities grouped under Health and Family Welfare delivery system in UHC area. While RBSK MO of UHC works under Rashtriya Bal Swasthya Karyakaram (RBSK). Objective: To assess various activities carried out by MBBS MOs and RBSK MOs at UHCs with proportion of time spent on each of activities. Method: The study was conducted at randomly selected 12 UHCs from randomly selected 3 zones of Ahmedabad city. Data regarding activities of MBBS and RBSK MOs were collected using predesigned matrix time log sheet wherein the MOs had to fill up their activities on 15 minutes slots for 2 weeks. Data were entered and analyzed using MS Excel. Results: Effective working time per day was 7 + 1/2 hours &6+1 hours for an MBBS & RBSK MO respectively. Majority of time spent per day by the MBBS MO was in conducting general OPD (mean 149 minutes) followed by preparing/checking reports. While, for RBSK MO, it was in health checkup at Anganwadis & Schools(118& 93 minutes respectively) followed by preparation of reports. Both MOs spent maximum time towards clinical work (48.51% by MBBS& 68.45% RBSK MOs) followed by administrative work (33.73% by MBBS & 18% by RBSK), field visits (11.5% by both), CME/workshops/trainings (2.02% by MBBS and 0.66% by RBSK) and other activities (4.2% by MBBS and 0.8% by RBSK). Conclusion: Frequency of various major activities was as per the recommendations for most of the MOs. However, many of them were not able to cover all the activities mentioned under guidelines.
{"title":"A Time Log Study of Activities of Medical Officers Working at Urban Health Centres of Ahmedabad City, Gujarat","authors":"G. Bhatt, A. Patel","doi":"10.51957/healthline_216_2021","DOIUrl":"https://doi.org/10.51957/healthline_216_2021","url":null,"abstract":"Introduction: Medical Officer (MO) of an Urban Health Centre (UHC) is responsible for implementing all activities grouped under Health and Family Welfare delivery system in UHC area. While RBSK MO of UHC works under Rashtriya Bal Swasthya Karyakaram (RBSK). Objective: To assess various activities carried out by MBBS MOs and RBSK MOs at UHCs with proportion of time spent on each of activities. Method: The study was conducted at randomly selected 12 UHCs from randomly selected 3 zones of Ahmedabad city. Data regarding activities of MBBS and RBSK MOs were collected using predesigned matrix time log sheet wherein the MOs had to fill up their activities on 15 minutes slots for 2 weeks. Data were entered and analyzed using MS Excel. Results: Effective working time per day was 7 + 1/2 hours &6+1 hours for an MBBS & RBSK MO respectively. Majority of time spent per day by the MBBS MO was in conducting general OPD (mean 149 minutes) followed by preparing/checking reports. While, for RBSK MO, it was in health checkup at Anganwadis & Schools(118& 93 minutes respectively) followed by preparation of reports. Both MOs spent maximum time towards clinical work (48.51% by MBBS& 68.45% RBSK MOs) followed by administrative work (33.73% by MBBS & 18% by RBSK), field visits (11.5% by both), CME/workshops/trainings (2.02% by MBBS and 0.66% by RBSK) and other activities (4.2% by MBBS and 0.8% by RBSK). Conclusion: Frequency of various major activities was as per the recommendations for most of the MOs. However, many of them were not able to cover all the activities mentioned under guidelines.","PeriodicalId":33836,"journal":{"name":"Healthline","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47379525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.51957/healthline_226_2021
G. Velhal, A. Shah, C. Varughese
The role of community medicine in epidemiology and disease outbreaks is significant. Covid-19 pandemic was an opportunity to realize this potential.Here we present the role of Community Medicine department of a Medical College in Mumbai, which was a global hotspot for Covid -19. The responses were initiated in the first week of February, prior to the detection of the first case in the city. With the progression of the pandemic, the roles have changed and adapted accordingly. The activity of Community Medicine department is unique to this specialty and has provided a lifetime experience for its residents andfaculty.Our purpose here is to project the roles depicted in this model so that some of them can be followed by community medicine departments of other colleges and continued post-pandemic too.
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