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Process evaluation of routine immunization in rural areas of Anand District of Gujarat  [PDF]
Tushar Patel,Devang Raval,Niraj Pandit
Healthline , 2011,
Abstract: : Objective: To evaluate the process components of routine immunization such as planning of immunization sessions, cold-chain and logistic management, community mobilization, appropriate technique of vaccination etc. in district Anand, Gujarat. Study Design: Cross-sectional observational study. Study setting: Sub-centre or Aanganwadi where immunization sessions are conducted and Primary Health Centres. Methods: Total 88 immunization sessions were evaluated in 44 PHCs. With the help of pre-tested structured questionnaire information was gathered. Results: Almost 46 percent of session sites did not have list of beneficiaries for active mobilization. In nearly 78.4 % of sessions, number of mobilizer present during immunization session was one and/or two. Only 50 percent of session sites had all vaccines available. 93.2 % of Primary Health Centres had no written plan for supervision of immunization sessions. Out of 44 PHC, in 29.6 % of PHCs, sessions were not conducted as per micro-plan on the date of visit. . Conclusion: All ASHA / Aanganwadi workers should mobilize infants from their respective area if village has more than one AWW/ASHA. There is need to send BCG vaccine at all session sites irrespective of wastage concerns. Problem of Vacant post of FHW or FHW on leave/deputation should be dealt with.
A study to assess the knowledge and practice on bio-medical waste management among the health care providers working in PHCs of Bagepalli Taluk with the view to prepare informational booklet
Nagaraju B,Padmavathi GV,Puranik DS,Shantharaj MP
International Journal of Medicine and Biomedical Research , 2013,
Abstract: Background: The proper handling and disposal of bio-medical waste is very imperative. Unfortunately, laxity and lack of adequate knowledge and practice on bio-medical waste disposal leads to staid health and environment apprehension. Aim: To assess the knowledge and practice on bio-medical waste management among the health care providers working in primary health centres (PHCs) of Bagepalli Taluk with the view to prepare informational booklet. Methods: In the present study, health care providers are categorized into four; Senior Health Workers (SHW), Junior Health Workers (JHW), Laboratory Technicians and Pharmacists. Periodical visits were made to analyze knowledge and practice about bio-medical waste management among health care providers of all PHCs in Bagepalli Taluk using questionnaires. Results: 29% were between the age of 21-30 years and 41-50 years, 26% were between the age group of 31-40 years and 16% were ≥ 51 years. 77 (64%) were females. 85% of were multi-purpose branch health worker/auxiliary nurse midwives (MPBHW/ANM), 8% were laboratory technicians, and 7% were pharmacists. 39 (33%) had 0-5 years of experience, 28 (23%) had 6-10 years of experience, 18 (15%) had 11-15 years of experience, and 35 (29%) had ≥ 16 years of experience. 99 (83%) did not have any in-service education and 21 (17%) had attended in-service education regarding bio-medical waste management. Conclusion: The results obtained pointed towards lack of knowledge and awareness towards legislations on bio-medical waste management even among qualified hospital personnel. Consequently, there is inappropriate practice of biomedical waste handling and management, thus exposing themselves and the general public to health and environment hazards.
A Study to Assess Knowledge and Attitude Regarding Selected Government Health Insurance Schemes among Staff Nurse in Selected Hospitals of Ahmedabad District: A Main Study
Surbhi A. Kaklottar, Siddaram Sarate
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105128
Abstract:
Background: Hospital bills for very small to considerably large ailments are a pain. It’s difficult to meet such costs on our own without burning a hole in our savings. Also, with medical costs escalating, some even compromise on quality healthcare, because of affordability. It is then that the importance of health insurance comes into the picture. Objectives of the study: 1) To assess the knowledge regarding selected government health insurance schemes among staff nurses working in selected hospitals of Ahmedabad District. 2) To assess attitude regarding selected government health insurance schemes among staff nurses working in selected hospitals of Ahmedabad District. 3) To find the correlation between knowledge score and attitude score regarding selected government health insurance schemes among staff nurses working in selected hospitals of Ahmedabad District. 4) To find the association between knowledge and attitude score with selected demographic variables. Methodology: The study utilized quantitative research approach with de-scriptive research design. The sample size was 170 selected using conven-ient non-probability sampling technique. The data were collected through self-structured questionnaire instrument which is validated by experts. Split half method was computed for finding out the reliability. The data are organized, analyzed and presented by using Karl Pearson’s correlation co-efficient formula and chi-square test. Major findings and result: The findings revealed that majority of staff nurses had average knowledge 91.18%, and 5.29% staff nurses had poor knowledge whereas 3.52% staff nurses had good knowledge. In present study finding reveled that, majority of 87.04% staff nurses have favorable attitude and 12.94% staff nurses have unfavorable attitude regarding MA and MAV Yojana. Computed chi-square value was less than table value at the level of significance indicating no significance association between level of knowledge score and selected so-cio-demographic variables. Computed chi-square value was less than table value at the level of significance indicating no significance association be-tween level of attitude score and selected socio-demographic variables. Conclusion: Investigators concluded that most of the staff nurses who were participated in the study have average knowledge and favorable attitude regarding selected government health insurance schemes. There is no correlation between knowledge score and attitude score where as there is no association between level of knowledge, level of attitude with so-cio-demographic variables.
Industrial Productivity Scenario: An Evaluation of Industrial Estate at Vitthal Udyognagar in Anand District of Gujarat state, India  [cached]
T. B. Pankhania,H. J. Jani
International Journal of Applied Operational Research , 2012,
Abstract: In the present age of cut-throat competition, it becomes highly necessary for an organization to be dynamic in the globalization era. This is possible only when the employees, employers and organizations are capable enough to cope up with the changing world scenario. In the rapidly changing environment, ‘human being’ is the most important and valuable resource to play vital role in every organization has in the form of its employees. The present study was conducted in industrial estates at Vitthal Udyognagar (V.U.Nagar) in Anand district of Gujarat, India. The estate was established some times in 1965.At present 1000 odd units are working and around 25000 employments are generated. The units were selected from the members’ directory published by Vitthal Udyognagar Industries Association (VUIA), out of which units were located for the study, Questionnaires were distributed / posted and interviews were conducted to know the present status of the industrial scenario. SPSS Software used to carry out various statistical analysis to uncover the factor responsible for the health of the estate in general and industries in particular. Keywords : Competition, Globalization, Scenario, Questionnaire, Employments, Productivity
THE EFFECTS OF FLASHCARDS AND STUDENT SELECTED REINFORCERS WITH GOALS AND ADDITIONAL PRACTICE WITH MULTIPLICATION FACTS FOR TWO INTERMEDIATE ELEMENTARY STUDENTS WITH BEHAVIOR DISORDERS*  [PDF]
Rose Treacy,T. F. McLaughlin,K. Mark Derby,Emily Schlettert
Academic Research International , 2012,
Abstract: The purpose of this study was to increase the fluency and accuracy on seem to write multiplication facts for two elementary school students with behavior impairments. One was an 11-year-old male and the other was a 13-year-old male. The study was conducted in a self-contained behavior impaired classroom in a large urban school district in the Pacific Northwest. The three behaviors measured were corrects, errors, and skips per minute. These data were gathered from a multiplication probe sheet. The behavioral results showed a clear increase of corrects per minute and decrease in both skips and errors when the three interventions (flashcards + student selected rewards, flashcards + student selected rewards + goals, and flashcards + student selected rewards + goals + extra timings). The outcomes one participant was larger than for the other. The benefits of employing data-based evaluation procedures with intermediate children with behavior impairments are outlined.
Determinants of Breast Feeding Practices in Urban Slums of a Taluka Headquarter of District Anand, Gujarat  [PDF]
Varshney Amit M, Kumar Dinesh, Patel Mahendra, Singh Uday S
National Journal of Community Medicine , 2012,
Abstract: Introduction: Medical and public health experts advocate breastfeeding as the best method of feeding young infants for a wide variety of reasons. Increasing urbanization and rising slum population is a ground reality even in the smaller towns of developing world. There are reports of improper child feeding practices in urban slums. The present study was undertaken to understand the determinants of breast feeding practices in urban slums of a small town (taluka head quarter, tire-IV) in district Anand of Gujarat state. Methodology: A cross sectional study was conducted in the field practice area of Urban Health Training Centre of Pramukhswami Medical College. Out of six served areas two were selected by using simple random sampling. After taking consent, the mothers of all children between the ages of 0-2 years were interviewed using pretested questionnaire. Results: Of the 75 mothers interviewed 4(5%) did not have any antenatal checkups (ANC) and 73 (97.3%) had institutional deliveries. Of the 71 mothers who had ANC only 28(39.4%) were counselled about breastfeeding. Prevalence of pre-lacteal feeding, exclusive breast feeding (EBF) and bottle feeding was 17(22.7%), 37(46.7%) and 10(13.3%) respectively. Maternal education beyond 7th grade and antenatal counselling about breastfeeding were associated with increased EBF and decreased pre-lacteal feeds. Conclusions: Breast feeding practices though better than national average was far from satisfactory. Female literacy continues to be an important factor in child rearing practices. The breast feeding counselling services need great deal of improvement in all healthcare settings.
Prevalence of Various Dermatoses in School Children of Anand District  [PDF]
Rita Vora, Nishit Bodiwala, Shivang Patel
National Journal of Community Medicine , 2012,
Abstract: Introduction: Skin diseases are common in children. School survey is a useful yardstick as it is easy to conduct, less time consuming and large number of children of particular age group can be screened for presence of diseases. Method: This study was conducted in 48 schools (32 urban and semi urban schools,16 rural school) of Anand district over a period of 5 years from Jan 2006 to Dec 2010. Total 26177 students comprising 15248 male and 10929 female from KG to 12th standard were examined. Result: Out of 26,177 students, 15.41 %( 4035) students were found to have skin disorders. Out of this, 18.14% (732) had infectious dermatoses, 79.60% (3212) had non-infectious dermatoses and 2.26%(91) had nutritional dermatoses. Discussion: The prevalence of skin disease (15.41%) reported in our study is quite less than other studies. Infectious disease showed low incidence compared to other studies due to proper hygienic condition.
Inequalities in selected health-related Millennium Development Goals indicators in all WHO Member States
DG Kirigia, JM Kirigia
African Journal of Health Sciences , 2007,
Abstract: The objective of this study was to quantify inequalities in selected Millennium Development Goal (MDG) indicators in all the 192 WHO Member States using descriptive statistics, the Gini coefficient and the Theil coefficient. The data on all the indicators were obtained from The World Health Report 2004. The main findings were as follows: (i) generally, all the MDG indicators are significantly worse in low-income countries than in the other three income groupings; (ii) for all the MDG indicators, there are inequalities within individual countries, within the four income groups, and across income groups of countries; (iii) the inequalities in the MDG indicators are higher among the low-income countries than in high-income countries; and (iv) the ranking of income groups, by various indicators, is fairly stable whether one employs the Gini coefficient or Theil coefficient. As Member States strive to expand the effective coverage of strategies and interventions (including health promotion, primary and secondary prevention, treatment, and care) geared at reducing child mortality; improving maternal health; combating HIV/AIDS, malaria and TB; and ensuring environmental sustainability (through reduction in the use of solid fuels and expansion in access to improved water and sanitation), it is vitally important to ensure that they are implemented in a manner that redresses the inequalities in various MDG indicators. Thus, it is vital for countries to systematically monitor not only the changes in various MDG indicators but also the inequalities across the various income quintiles. In addition, at the regional and global levels, it is necessary to set up mechanisms for rigorous monitoring of the inequalities in the MDG indicators across the income groups of countries. The lessons learnt from the monitoring processes should inform the design and targeting of the various MDG-related policies, strategies and interventions with a view to eradicating the inequalities. African Journal of Health Sciences Vol. 14 (3-4) 2007: pp. 171-186
Prevalence of Hypertension in Gujarati School Going Children and Adolescents in Anand District
Verma Vivek, Singh S K
National Journal of Community Medicine , 2012,
Abstract: Background: Childhood hypertension is now days becoming big problem worldwide. Gujarati school age children are not much studied regarding cardiovascular risk factors like hypertension; especially in the central Gujarat, no such study has been reported so far. Therefore, we conducted this study to assess prevalence of hypertension and relationship of blood pressure with body mass index and body surface area in Gujarati school going children and adolescents in Anand district of Gujarat. Methodology: A cross-sectional study of 1087 Gujarati school going children and adolescents of 5-18 years was conducted between 2008 and 2010 in Anand district of Gujarat to get a distribution profile of blood pressure, BMI and BSA (body surface area). Results: The overall prevalence of prehypertension was 10.8% (6.16% for SBP and 5.61% for DBP) and that for hypertension was 9.2% (5.06% for SBP and 5.09% for DBP). In boys, overall prevalence of prehypertension and hypertension were 9.63% (4.82% for SBP and 6.15% for DBP) and 9.8% (6.31% for SBP and 5.65% for DBP) respectively and, that was 9.07% (4.54% for SBP and 4.95% for DBP) and 10.31% (5.77% for SBP and 6.19% for DBP) in girls. The blood pressure was positively correlated with age, height, BMI and BSA. Conclusion: The high prevalences of prehypertension and hypertension in Gujarati children and adolescents obtained in this study indicate the need for regular evaluation of cardiovascular status in Indian school children.
Socio-demographic profiles of the delayed diagnosed patients in RNTCP, Anand District.  [PDF]
Donald Christian,Uday Shankar Singh,Sidhyartha Mukherjee,Deepak Sharma
Healthline , 2010,
Abstract: It would be worth to consider socio-demographic characteristics of the patients on DOTS (Directly Observed Treatment Short course), as the therapy requires a long term adherence. Material & Methods: Design: Cross-sectional study, Participants: 100 diagnosed TB patients on DOTS, from all TB units (25 from each TU) of Anand District, who had reported 3 weeks or later to health care center, after the onset of symptoms of TB. Information was filled up in a pretested questionnaire and the data was analyzed. Results: Among 100 TB patients (68 males and 32 females), 75% of the subjects had an education below 9th standard. 46% of subjects were laborer. 65% were self-dependent. Most of the respondents (75%) preferred government facility. Conclusion: The socio-demographic characteristics of DOTS patients are found to be of such levels that could have a pivotal role in the treatment success. They also need to be addressed under the program in such a manner that those characteristics don’t prove to be a barrier to treatment success.
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