scholarly journals A study to assess awareness about Janani Suraksha Yojana among beneficiaries of urban slums of Raipur city, Chhattisgarh

2017 ◽  
Vol 4 (7) ◽  
pp. 2423
Author(s):  
Shanta P. Khes ◽  
Divya Sahu ◽  
G. P. Soni ◽  
Aditi Chandrakar
Keyword(s):  
Institutional Delivery ◽  
Urban Slum ◽  
Cross Sectional ◽  
Janani Suraksha Yojana ◽  
Medical College ◽  
Active Involvement ◽  
Monetary Benefit ◽  
Study Centre ◽  
One Year

Background: Janani Suraksha Yojana (JSY) under the overall umbrella of National Rural Health Mission has been launched from April 2005. The scheme replaces the National Maternity Benefit Scheme. It aims at increasing institutional delivery, thereby reducing maternal and neonatal mortality. The objectives of the study were to assess awareness regarding JSY and to assess role of factors contributing in awareness.Methods: A community based Cross-sectional observational study was conducted in urban slum of Raipur city among 384 mothers delivered within last one year. Study centre was Department of community medicine, Pt J.N.M. medical college Raipur, Chhattisgarh. The subjects were interviewed using a pre-designed and pre-tested questionnaire.Results: Majority of the study subjects were not aware about the services under JSY except for the monetary benefit. Though a very small proportion of beneficiaries know the name of the scheme, majority delivered in the health facility.Conclusions: To increase awareness regarding other components under JSY and to achieve 100% institutional delivery there is need to strengthen effective IEC along with active involvement of ASHA.

scholarly journals A study to assess receipt and utilization of janani suraksha yojana cash incentive among mothers in urban slums of Raipur city, Chhattisgarh, India

2019 ◽  
Vol 7 (12) ◽  
pp. 4768
Author(s):  
Divya Sahu ◽  
Shanta P. Khes Beck ◽  
G. P. Soni ◽  
Abha Ekka ◽  
Srishti Dixit ◽  
...  
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Cross Sectional ◽  
Janani Suraksha Yojana ◽  
Private Health Facility ◽  
Cash Incentive ◽  
The Government

Background: Janani Suraksha Yojana (JSY) replaces the National Maternity Benefit Scheme. It was launched by the Government of India in April 2005. The aim was to reduce maternal and neonatal mortality by increasing institutional delivery by providing cash incentive to the beneficiaries as well as the link worker ASHA. Objectives of this study was to assess receipt of Janani Suraksha Yojana (JSY) cash incentive and to assess fields of utilization of Janani Suraksha Yojana (JSY) cash incentive.Methods: A Community based cross-sectional study was conducted among 384 mothers delivered within last one year in urban slum of Raipur city. Study centre was department of community medicine, Pt. J.N.M. medical college Raipur, Chhattisgarh. A pre-designed and pre-tested questionnaire was used to interview the study subjects.Results: Out of total 384 study subject’s cheque of JSY cash incentive was received by 70.83%. All (100%) beneficiaries who received cheque was stipulated amount as per JSY guideline. Reasons for not receiving cheque was no availability of BPL card for those who delivered in accredited private health facility. Other reasons were absconded after delivery, unaware of cash incentive, did not go back to get the cheque when called later, patient shifted to another ward. None of the study subjects who delivered at home received the cash incentive cheque. Realization of cheque was not done by 22.79% of study subjects due to complex procedure to open an account in bank. Cash incentive money was utilized in neonatal care, drugs, food, household activities and some deposited in bank.Conclusions: JSY scheme is definitely functioning well in terms of providing cash incentive cheque of JSY on delivery in Government Health facility. There is need to simplify the procedure to open an account so that beneficiaries can avail cash incentive money. There is need to address the problems to receive cheque in home delivery and accredited Private health facility in addition to motivation for institutional delivery.

scholarly journals Septic Abortion and Associated Morbidity and Mortality

2013 ◽  
Vol 12 (3) ◽  
pp. 20-22
Author(s):  
Adiba Malik ◽  
Kamrun Nessa ◽  
Rokeya Begum
Keyword(s):  
Health Workers ◽  
Lower Class ◽  
Urban Slum ◽  
Morbidity And Mortality ◽  
Major Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
One Year ◽  
Septic Abortion

Background: In Bangladesh a large number of women attending the major urban hospitals with the complications directly due to abortion like, hemorrhage, fever, peritonitis, visceral injuries. Among all types of abortion, septic abortion is a significant health problem with short and long term complications that affect the quality of life of those fortunate enough to avoid mortality. Aim: This study was conducted to assess the septic abortion related morbidity and mortality in a tertiary level hospital in one year. Methods: This study was a cross sectional observational study in the Department of Obstetrics and Gynaecology, Chittagong Medical college hospital form October 2008 to September 2009, where 60 patients of septic abortions in above period were collected by history examination, management, complications and associated morbidity and mortality. Results : 58.3% of septic abortion patients came from lower class, 70% of them were residing in urban slum area, 96.7% were married 44% of them were illiterate, 85% of them did not use any contraceptive methods although they didn't want to increase their family. 78.3% needed surgical treatment, 23.7% needed major surgery like laparotomy, average duration of hospital stay was 12.08 days and 8.33% patients came with septicemic shock and died. Conclusion: Septic abortion is an important contributor to maternal morbidity and mortality, increasing the burden not only the patients but health workers and their resources. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 20-22

Role of Fibrinolytic Therapy in Empyema Thoracis – A Hospital Based one year Cross Sectional Study

2012 ◽  
Vol 2 (2) ◽  
pp. 345-350
Author(s):  
Dr. Girish.L Dandagi ◽  
◽  
Venkat kalyana kumar. P ◽  
Dr. Dr.Isaac Mathew ◽  
Dr. Dr.G S Gaude Dr. Dr.G S Gaude
Keyword(s):  
Cross Sectional Study ◽  
Fibrinolytic Therapy ◽  
Empyema Thoracis ◽  
Sectional Study ◽  
Cross Sectional ◽  
One Year

scholarly journals A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Rural Areas ◽  
Descriptive Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Abdominal Abscesses ◽  
One Year ◽  
The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

scholarly journals Non-use of Janani Avam Bal Suraksha Yojana in a district of Bihar: ensuring safe deliveries needs strategy modification

2018 ◽  
Vol 5 (8) ◽  
pp. 3311 ◽  
Author(s):  
Madhumita Mukherjee ◽  
Rashmi Singh ◽  
Amrita Mukherjee ◽  
Madhulekha Bhattacharya
Keyword(s):  
Institutional Delivery ◽  
Conditional Cash Transfer ◽  
Home Delivery ◽  
Cash Transfer ◽  
Health Staff ◽  
Cross Sectional ◽  
Emergency Transport ◽  
The Status ◽  
Home Deliveries ◽  
One Year

Background: India’s Janany Surakhsha Yojana (JSY) is the largest conditional cash transfer (CCT) program in the world in terms of the number of beneficiaries - covering about 9·5 million (36%) of 26 million women giving birth in India. Eleven States/UTs including Bihar, are still below the National estimate for institutional delivery of 78.9% (NFHS 4). In this study we attempted to find out the status of institutional and home deliveries in district Arwal of Bihar and reasons why in spite of cash incentives a proportion of mothers are opting for home delivery.Methods: A cross sectional descriptive design was used to interview 407 women, who had given birth to a child in previous one year. Focuss group discussions was held with community and health staff to corroborate the interview data.Results: Fifty nine percent of mothers were found to have preferred home delivery over institutional one. Reasons which came to light were home deliveries are cheaper (24.1%), unawareness about JSY (22%), unavailability of transport to reach hospital (22%) and better care being taken at home delivery (20.1%) variables. Older age, having a BPL card, and literacy of husband were found as favoring institutional delivery whereas dissatisfaction during a previous abortion or a livebirth in hospital were both associated with non-use.Conclusions: Better client awareness, strengthening of public health infrastructure, availability of skilled birth attendants at health subcentres (HSCs) and emergency transport in time can reduce number of home deliveries and lead to success of JBSY programme and subsequent reduction in maternal morbidity and mortality.

scholarly journals A study of availability of basic facilities at household level of rural Gujarat, India

2017 ◽  
Vol 4 (6) ◽  
pp. 2052
Author(s):  
Bipin Prajapati ◽  
Kavita Banker ◽  
Jignesh Chauhan
Keyword(s):  
Rural Area ◽  
Secondary Data ◽  
Urban Slum ◽  
Cross Sectional ◽  
Housing Status ◽  
Household Level ◽  
Medical College ◽  
Status Difference ◽  
Sabarkantha District ◽  
Social Demographic

Background: India, a globally important consumer economy and one of the fastest growing economies in the world. By 2025-26 the number of middle class households in India is likely to more than double from the 2015-16 levels to 113.8 million households or 547 million individuals. The standard of living in India shows large disparity. Objectives: To study the rural household condition regarding social, demographic and housing condition. Methods: This cross-sectional secondary data analysis study was conducted at RHTC – Hadiyol of GMERS medical college, Himmatnagar, Sabarkantha district, Gujarat during 1st January 2016 to 30th August 2016. Study included 500 household from RHTC with 2250 members of rural area by purposive sampling method. Results: Almost 93.8% population was residing their own house and 66.2% population have “pucca” house. Mean family size was 4.5 ± 1.5 in rural households. Separate kitchen was present in 54.4% houses. Conclusions: Study reveals the socio-demographic and housing status difference between urban slum and rural area regarding own house, number of family members, kitchen, latrine, bathroom, and overcrowding, sanitary practices. 

scholarly journals USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study

2017 ◽  
Vol 5 (8) ◽  
pp. 3713 ◽  
Author(s):  
Aastha Bhatt ◽  
Awdhut Tiparse ◽  
Arpita Patel ◽  
Birwa Gandhi
Keyword(s):  
Ct Scan ◽  
Structural Changes ◽  
Radiation Hazard ◽  
Government Medical College ◽  
Detailed Characterization ◽  
Cross Sectional ◽  
Medical College ◽  
Adjacent Structures

Background: Pancreatitis is a condition of inflammation of pancreas with high rate of morbidity and mortality. USG provides the initial radiological assessment of the organ, clue of the extent of involvement and an opportunity to evaluate other abdominal organs. CT scan provides a cross-sectional anatomy of the organ, its internal structure, focal or diffuse involvement and involvement of adjacent structures. This study is done to evaluate the role of USG and CT scan in patients of pancreatitis admitted to Sir Takhtsinhji hospital, government medical college, Bhavnagar, Gujarat, India. Aim was to understand the role of CT and USG in determination of diagnosis of pancreatitis and to highlight and evaluate the cases in which USG failed to diagnose the cases which were helped through by CT.Methods: This study was done in department of radio diagnosis at Sir Takhtsinhji hospital, government medical college, Bhavnagar, Gujarat, India, over a period of one year from June 2015 to June 2016. Each patient was studied taking into consideration relevant clinical and laboratory factors. USG of patients was done using My Lab 40 or My Lab 20 plus machine. CT scan was done using GE 16 Slice CT scan machine.Results: Ultrasound by non-invasiveness, lack of radiation hazard and by ability to demonstrate structural changes in organ is first investigation of choice in pancreatitis. However, USG fails imaging in conditions with excess of bowel gas or fatty patient. It lacks in detailed characterization of the inflammatory process and does not delineate extent of necrosis of the gland. CT is superior to ultrasound for precise detection of size, parenchyma, MPD, calcification, pseudocyst, ascites, pleural effusion, necrosis and peri pancreatic region and hence helps to determine exact extent of inflammation of the organ, multi-system involvement and prognosis.Conclusions: Ultrasound by non-invasiveness, easy availability, cost parameters, lack of radiation hazard and by ability to demonstrate structural changes in organ is first investigation of choice in pancreatitis. However, ultrasonography lacks in detailed characterization of the extent of involvement of the organ and adjacent structures. CT is superior to ultrasound for precise detection and extension of the pancreatitis and it has better sensitivity and specificity than ultrasonography. 

scholarly journals Distribution of Dental Diseases and Treatment Delivered amongst Patients Visiting Dental Outpatient Department at Gandaki Medical College, Nepal

2018 ◽  
Vol 11 (1) ◽  
pp. 29-32
Author(s):  
S L Tuladhar ◽  
U Parajuli ◽  
P Manandhar ◽  
N Subedi ◽  
D Kunwar
Keyword(s):  
Dental Caries ◽  
Dental Restoration ◽  
Outpatient Department ◽  
Dental Disease ◽  
Age Group ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Medical College ◽  
Dental Diseases ◽  
One Year

Introduction: A study of dental diseases amongst patients attending dental outpatient department (OPD) helps us plan a preventive, and/or a definitive dental treatment.Objectives: To find out the distribution of dental diseases amongst patients visiting dental OPD at College of Dental Surgery, Gandaki Medical College (GMC), Pokhara, Nepal.Methods: The present study was a hospital based cross sectional descriptive study carried out during a period of one year extending from 1st February 2016 to 31st January 2017. A total of 3052 patients attending the dental OPD were included in the study. The distribution of dental diseases according to sex, age and diagnosis were collected and analyzed. Additionally, frequency distribution of treatments provided to the patients was observed.Results: Dental caries was the most prevalent dental disease (64.41%) followed by gingivitis (13.04%). The prevalence of dental caries was significantly higher in females (Females 56.91% vs. males 43.08%, P <0.05). Conversely, the prevalence of maxillofacial injuries (85.06%), dental impactions (72%), and malocclusion (53.88%) were significantly more common in male patients (P <0.05). The age group <19 years comprised 23.98 % of patients who visited the dental OPD, and the dental caries was most prevalent (27.10%) in the age group. The order of more frequent dental treatments was root canal treatment (18.84%), tooth extraction (18.44%), dental restoration (10.48%), and scaling (9.20%).Conclusions: The most prevalent dental disease was dental caries and it was more prevalent in females than in males. The most common age group reporting to Dental OPD was <19 years. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 29-32

scholarly journals Screening of Thyroid Function in the First Half of Pregnancy

2016 ◽  
Vol 29 (1) ◽  
pp. 26-31
Author(s):  
Shaila Naznine Tania ◽  
Ferdousi Islam
Keyword(s):  
Pregnant Women ◽  
Thyroid Function ◽  
Serum Levels ◽  
Cross Sectional Study ◽  
Thyroid Disorder ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
One Year ◽  
Serum Tsh

Objective: The study was conducted to find out any alterations in thyroid function status in first half of pregnancy (up to 20 weeks), with ultimate aim of deciding the usefulness of routine screening of thyroid function in pregnancy.Material and methods: A cross-sectional study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College and Hospital, Dhaka, Bangladesh, over a period of one year from July 2011 to June 2012 on pregnant women in their 1st half of pregnancy to screen for the thyroid function. Based on predefined eligibility criteria, a total of 230 pregnant women were purposively included in the study. Thyroid function status was assessed by measuring serum levels of TSH, free thyroxine (FT4), and free tri-iodothyronine (FT3). Women with thyroid disorders were excluded.Results: The mean age of the patients being 24 years. Over 90% of the women were housewife and majority (88.7%) was educated. Over one-quarter of women was overweight with mean body mass index being 22.1 ± 4.4 kg/m2. The women were predominantly multigravida with 56% in 1st trimester 44% in the 1st half of 2nd trimester of pregnancy (13-20 weeks). Based on trimester’s specific range of serum TSH in the 1st and 1st half of 2nd trimester (13-20 weeks) of pregnancy,13% of the patients were hypothyroid and 3% were hyperthyroid thus yielding a total of 37(16%) pregnant women with abnormal thyroid function status.Conclusion: The study concluded that one in every six women may have thyroid disorder in the first half of pregnancy and subclinical hypothyroidism is four times more common than the subclinical hyperthyroidism.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 26-31

scholarly journals Role of Multidetector Computerised Tomography in Evaluation of Proptosis

2019 ◽  
Vol 9 (2) ◽  
pp. 24-31
Author(s):  
Elina Shrestha ◽  
Narayan Bikram Thapa ◽  
Shankar Bahadur Singh Rajbhandari
Keyword(s):  
Predictive Value ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Computerised Tomography ◽  
Cross Sectional ◽  
Female Ratio ◽  
Male Female Ratio ◽  
One Year ◽  
Female Male Female

Introduction: Proptosis is defined as bulging of eye anteriorly out of the orbit. Our main objective was to analyze the pattern of computerised tomographic findings in evaluation of proptosis. Computerised tomography (CT) is noninvasive, easily accessible, affordable and reliable imaging which helps in early diagnosis and prompt treatment. Methods: A descriptive cross sectional study of total 58 patients presenting with proptosis referred to our department of radiology for computerised tomography evaluation during one year period were undertaken into study. The clinical information provided by ophthalmologist also helped our study to derive into conclusion. SPSS version 20 software was used for statistical data analysis. Results: Out of 58 patients, the most common cause of proptosis was neoplasm constituting of 25 cases (43.1%). Retinoblastoma was the commonest orbital tumor. Out of remaining cases, 15 (25.8%) were infective, 14 (24.1%) were inflammatory, two (3.44%) were traumatic and remaining two cases (3.44%) had no definitive cause for proptosis. Bilateral proptosis was commonly associated with thyroid ophthalmopathy. Among the subjects 32 were male, 26 were female. Male: Female ratio was 1:1.23. Age group was ranging from 1 month to 73 years.Mean age was 26.4 ± 22 years. Conclusions: Computerised tomography has an important role in distinguishing the different types of lesions based on their characteristics, location and extension prior to undertaking definitive surgical and medical treatment. Overall accuracy of CT in our study was 81%, sensitivity of 82.6%, specificity of 80.6%, positive predictive value of 76% and negative predictive value of 86.2%.

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