scholarly journals Perfil epidemiológico da sífilis congênita em uma microrregião no interior do estado da Bahia (2007-2017)

2019 ◽  
Vol 18 (4) ◽  
pp. 198-229
Author(s):  
Kaic Trindade Almeida ◽  
Álisson Neves Santos ◽  
Ana Karla Araújo Nascimento Costa ◽  
Myllena Rodrigues dos Santos ◽  
Ana Maria Fernandes Menezes ◽  
...  
Keyword(s):  
Public Health ◽  
Prenatal Care ◽  
Quantitative Study ◽  
Health Problem ◽  
Congenital Syphilis ◽  
Public Health Problem ◽  
Cross Sectional ◽  
Notification System ◽  
El Sistema ◽  
Epidemiological Profile

Objective: To analyze the epidemiological profile of Congenital Syphilis in 18 municipalities in the state of Bahia between 2007 and 2017.Method: A descriptive, cross-sectional and quantitative study of the confirmed cases of Congenital Syphilis in the micro-region registered in the Aggravation and Notification Information System.Results: In the study period, 39 cases were confirmed, with 30.8% of the mothers being between 20 and 24 years of age, 59% were brown, 46.2% had incomplete primary education, 33.3% were housewives, 74.4% 94.9% underwent prenatal care, 53.8% were diagnosed at the time of delivery / curettage, 41% received inadequate treatment and 38.5% of the partners were not treated. With regard to newborns, 69.2% were diagnosed with 0 day of life, 74.4% with recent Congenital Syphilis and 46.2% asymptomatic.Conclusion: The data reveal a serious public health problem in the micro-region analyzed, also pointing out failures in the notification system, observed in the high ignored index in the studied variables. Objetivo: Analizar el perfil epidemiológico de Sífilis Congénita en 18 municipios en el interior del estado de Bahía entre 2007 y 2017.Método: Estudio descriptivo, transversal y cuantitativo de los casos confirmados de Sífilis Congénita en la microrregión registrados en el Sistema de Información de Agravios y Notificación.Resultados: En el período estudiado se confirmaron 39 casos, donde el 30,8% de las madres tiene entre 20 a 24 años, el 59% son pardas, el 46,2% tienen enseñanza fundamental incompleta, el 33,3% amas de casa, el 74,4% en el momento del parto / curetaje, el 41% recibió tratamiento inadecuado y el 38,5% de los socios no fueron tratados. Con respecto a los recién nacidos, el 69,2% fue diagnosticado con 0 días de vida, 74,4% con Sífilis Congénita reciente y 46,2% asintomáticos.Conclusión: Los datos revelan un serio problema de salud pública en la microrregión analizada apuntando también fallas en el sistema de notificación, observadas en el elevado índice de ignorados en las variables estudiadas. Objetivo: Analisar o perfil epidemiológico de Sífilis Congênita em 18 municípios no interior do estado da Bahia entre 2007 e 2017. Método: Estudo descritivo, transversal e quantitativo dos casos confirmados de Sífilis Congênita na microrregião registrados no Sistema de Informação de Agravos e Notificação. Resultados: No período estudado foram confirmados 39 casos, onde 30,8% das mães tem entre 20 a 24 anos, 59% são pardas, 46,2% possuem ensino fundamental incompleto, 33,3% donas de casa, 74,4% residentes na zona urbana, 94,9% realizou o pré-natal, 53,8% foram diagnosticadas no momento do parto/curetagem, 41% receberam tratamento inadequado e 38,5% dos parceiros não foram tratados. Com relação aos recém-nascidos, 69,2% foram diagnosticados com 0 dia de vida, 74,4% com Sífilis Congênita recente e 46,2% assintomáticos. Conclusão: Os dados revelam um sério problema de saúde pública na microrregião analisada apontando também falhas no sistema de notificação, observadas no elevado índice de ignorados nas variáveis estudadas.

scholarly journals Impacto da dengue no Brasil no período de 2007 a 2012

2019 ◽  
Vol 9 (27) ◽  
pp. 79
Author(s):  
Antonio Cláudio do Rego Coelho ◽  
Anna Klara Paim dos Anjos ◽  
Clerislene De Sousa Oliveira ◽  
Fábio Lucas da Cruz Viana ◽  
Maria Da Conceição Lisboa Dutra ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Health Problem ◽  
Surveillance System ◽  
Research Method ◽  
Public Health Problem ◽  
Exploratory Analysis ◽  
El Sistema ◽  
Factores De Riesgo ◽  
Epidemiological Profile

A dengue é um problema de saúde pública, acometendo especialmente os países tropicas e subtropicais. No Brasil, até meados de dezembro de 2012, o sistema nacional de vigilância da dengue havia registrado mais de 1,4 milhões de casos suspeitos. O artigo tem como objetivo, investigar a incidência dos casos de dengue no Brasil no período de 2007 a 2012, analisando, conforme o que consta na literatura, os fatores de risco que levam a um grande número de casos. O método de pesquisa consistiu na análise documental e exploratória do número de notificações de casos da dengue no período de 2007 a 2012 em todo território nacional através do banco de dados do SINAN. As informações foram apresentadas segundo Unidade da Federação e ano dos primeiros sintomas, considerando todas as notificações. Através do resultado obtido conclui-se que a maioria das notificações de casos ocorreu na região Sudeste, Nordeste, Centro-Oeste.Descritores: Dengue, Epidemiologia, Perfil Epidemiológico. Dengue in Brazil impact of the period 2007 to 2012Abstract: Dengue is a public health problem, especially affecting tropical and subtropical countries. In Brazil, by mid-December 2012, the national dengue surveillance system had recorded more than 1.4 million suspected cases. The objective of this article is to investigate the incidence of dengue cases in Brazil from 2007 to 2012, analyzing, according to the literature, the risk factors that lead to a large number of cases. The research method consisted of documental and exploratory analysis of the number of reports of dengue cases in the period from 2007 to 2012 throughout the national territory through the SINAN database. The information was presented according to the Federation Unit and year of the first symptoms, considering all the notifications. Through the obtained results it is concluded that the majority of cases reports occurred in the Southeast, Northeast, Midwest.Descriptors: Dengue, Epidemiology, Epidemiological Profile. Impacto del dengue en Brasil en período 2007 a 2012Resumen: El dengue es un problema de salud pública, afectando especialmente a los países tropicales y subtropicales. En Brasil, hasta mediados de diciembre de 2012, el sistema nacional de vigilancia del dengue había registrado más de 1,4 millones de casos sospechosos. El artículo tiene como objetivo, investigar la incidencia de los casos de dengue en Brasil en el período de 2007 a 2012, analizando, según lo que consta en la literatura, los factores de riesgo que llevan a un gran número de casos. El método de investigación consistió en el análisis documental y exploratorio del número de notificaciones de casos del dengue en el período de 2007 a 2012 en todo el territorio nacional a través de la base de datos del SINAN. Las informaciones fueron presentadas según Unidad de la Federación y año de los primeros síntomas, considerando todas las notificaciones. A través del resultado obtenido se concluye que la mayoría de las notificaciones de casos ocurrió en la región Sudeste, Nordeste, Centro-Oeste.Descriptores: Dengue, Epidemiología, Perfil Epidemiológico.

scholarly journals EPIDEMIOLOGICAL PROFILE OF THE NOTIFIED CASES OF CONGENITAL SYPHILIS BY HEALTH REGION IN TOCANTINS

2018 ◽  
Vol 5 (4) ◽  
pp. 55-65
Author(s):  
Jayanne Silva De Alcantara ◽  
Guilherme Pansani Silva ◽  
Kleidir Hernâny Moreira Oliveira ◽  
Michelle de Jesus Pantoja Filgueira
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Urban Areas ◽  
Congenital Syphilis ◽  
Cross Sectional ◽  
Notification System ◽  
Maternal Schooling ◽  
Performance Area ◽  
The One ◽  
Epidemiological Profile

ABSTRACT This is a descriptive, retrospective cross-sectional epidemiological study, on cases of Congenital Syphilis (CS) reported on the Information System for Notifiable Diseases (SINAN) from 2013 to 2017. This study aims to describe the epidemiological profile of CS cases reported in the eight health regions of the state of Tocantins. The health care regions were related to the variables maternal schooling, prenatal performance, area of residence, moment of diagnosis and treatment of the partner. Of the 1192 cases reported,the majority were in the Capim Dourado region. It was verified that in most cases the mothers studied until elementary or secondary school, performed prenatal care and resided in urban areas, and  that the diagnosis occurred during prenatal care, however, the partner was not treated. Only Amor Perfeito region showed a predominance of diagnosis performed at the time of delivery and Ilha do Bananal region was the one with the highest percentage of diagnosis carried out after birth. The increase in SC cases may reflect increase in it’s incidence and improvement in the notification system. The percentage of untreated partners and late diagnoses may suggest a qualitative and an access deficit  in prenatal care. Descriptors: congenital syphilis; epidemiology; health care regions.

scholarly journals Sífilis na gestante e congênita: perfil epidemiológico e prevalencia

2019 ◽  
Vol 19 (1) ◽  
pp. 107-150
Author(s):  
Giordana Maronezzi ◽  
Giovanna Brichi Pesce ◽  
Débora Cristina Martins ◽  
Cacilda Maria Do Prado ◽  
Carlos Alexandre Molena Fernandes
Keyword(s):  
Pregnant Women ◽  
Urban Areas ◽  
Congenital Syphilis ◽  
Cross Sectional ◽  
Notification System ◽  
El Sistema ◽  
Partner Characteristics ◽  
Las Mujeres ◽  
Epidemiological Profile

Objetivo: Describir el perfil epidemiológico a través de las características sociodemográficas, obstétricas y del compañero, de casos notificados de sífilis en gestantes y de sífilis congénita, en el período de 2012 a 2016. Métodos: Se trata de un estudio transversal y descriptivo realizado en la 16ª Regional de Salud de Apucarana, en el estado de Paraná, a través de las fichas de notificación compulsoria de sífilis en gestante y sífilis congénita, que constaban en el Sistema de Notificación de Perjuicios y Enfermedades (SINAN). Resultados: Fueron notificados 257 casos de sífilis en gestantes y 119 casos de sífilis congénita. La tasa de prevalencia de sífilis gestacional fue de 0,97% y la tasa de incidencia de sífilis congénita de 4,73%. Las mujeres notificadas como "sífilis en gestante" (SG) y con recién nacido (RN) con "sífilis congénita" (SC), eran en su mayoría, blancas, jóvenes, con baja escolaridad y residían en zona urbana. Los compañeros no tratados totalizaron 40,8%; las madres consideradas con tratamiento inadecuado fueron 47,05%. Entre los nacidos vivos (NV) con SC, 69,7% no realizaron el test treponémico (TT) a los 18 meses y 81,5% no hicieron el test no treponémico (TNT) en el líquido cefalorraquídeo. Conclusión: El sistema de salud debe ser reorganizado garantizando el seguimiento y acompañamiento tanto de la gestante como del recién nacido. Objective: To describe the epidemiological profile through sociodemographic, obstetric and partner characteristics of the notified cases of syphilis in pregnant women in the period of 2012 to 2016. Methods: This is a cross-sectional and descriptive study conducted at the 16th Apucarana Health Region of the State of Paraná through the compulsory notification sheets for syphilis in pregnant women and congenital syphilis inserted in the Notification System of Diseases and Diseases (SINAN). Results: It was recorded 257 cases of syphilis in pregnant women and 119 cases of congenital syphilis. The prevalent rate of syphilis was 0,97% and the incidence rate of congenital syphilis was 4,73%. Women with congenital syphilis (SG) and congenital syphilis (SC) were mostly white, young, with low schooling and living in urban areas. Untreated partners accounted for 40,8% and 47.05% of the mothers were considered with inadequate treatment. Among live births (NS) with SC, 69.7% did not undergo TT at 18 months and 81.5% did not do TNT in CSF. Conclusion: The health system must be reorganized ensuring the follow-up and follow-up of both the pregnant and the newborn. Objetivo: Descrever o perfil epidemiológico através das características sociodemograficas, obstétricas e do parceiro dos casos notificados de sífilis em gestantes e de sífilis congênita no período de 2012 a 2016. Métodos: Trata-se de um estudo transversal e descritivo realizado na 16ª Regional de Saúde de Apucarana do estado do Paraná através das fichas de notificação compulsória de sífilis em gestante e sífilis congênita inseridas no Sistema de Notificação de Agravos e Doenças (SINAN). Resultados: Foram notificados 257 casos de sífilis em gestante e 119 casos de sífilis congênita. A taxa de prevalência de sífilis gestacional foi de 0.97% e a taxa de incidência de sífilis congênita de 4.73%. As mulheres notificadas com sífilis em gestante (SG) e com recém nascido (RN) portador de sífilis congênita (SC) eram em sua maioria, brancas, jovens, com baixa escolaridade e residiam em zona urbana. Parceiros não tratados totalizaram 40,8% e 47.05% das mães foram consideradas com tratamento inadequado. Entre os nascidos vivos (NV) com SC, 69,7% não realizaram o TT aos 18 meses e 81.5% não fizeram o TNT no líquor. Conclusão: O sistema de saúde deve ser reorganizado garantindo o seguimento e acompanhamento tanto da gestante quanto do recém-nascido.

scholarly journals Epidemiology of Childhood Blindness: a Community based study in Bangladesh

2019 ◽  
Author(s):  
A.H.M Enayet Hussain ◽  
Junnatul Ferdoush ◽  
Saidur Rahman Mashreky ◽  
AKM Fazlur Rahman ◽  
Nahid Ferdausi ◽  
...  
Keyword(s):  
Public Health ◽  
Quantitative Study ◽  
Health Problem ◽  
Screening Program ◽  
Public Health Problem ◽  
Initial Screening ◽  
Community Based ◽  
Cross Sectional ◽  
Childhood Blindness ◽  
Household Level

AbstractThis study has aimed to detect the prevalence and causes of childhood blindness in rural area of Bangladesh. A cross sectional quantitative study design was adopted for this study which carried-out in three unions (sub-districts) of Raiganj upazila of Sirajganj district of Bangladesh. Using a validated tool a screening program was conducted at household level. After initial screening a team of ophthalmologists confirmed the diagnosis by clinical examinations. The prevalence of childhood blindness found was 6.3 per 10,000 children. The rate of uni-ocular blindness was 4.8 per 10,000 children. Congenital problems were the major cause of both uniocular and binocular blindness (UOB: 84% and BB: 92% &). For binocular blindness, whole globe was the responsible site (28.0%, CI: 13.1, 47.7) and cornea was for the uni-ocular blindness (57.8%, CI: 35.3, 78.1). Childhood blindness is a public health problem in Bangladesh. Childhood blindness is common irrespective of gender. Major causes of childhood blindness are congenital.

scholarly journals Burnout Among Formal Caregivers and Risk of Violence Against Institutionalized Elderly

2020 ◽  
pp. 247-262
Author(s):  
Susana Valido ◽  
Ermelinda do Carmo Caldeira ◽  
Felismina Mendes
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Population Aging ◽  
Public Health Problem ◽  
Descriptive Study ◽  
Quantitative Approach ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Formal Caregivers

Sociodemographic changes occurring in past decades are reflected as increased population aging, resulting in a higher need to institutionalize elderly. Violence against elderly is a relevant public health problem. The aims of the present cross-sectional exploratory and descriptive study with a quantitative approach were to analyze burnout among formal caregivers at institutions for elderly and to assess the risk of violence against institutionalized elderly. As a part of project ESACA—Envelhecer com Segurança no Alentejo (Prevenir as Quedas e a Violência sobre Idosos)—Compreender para Agir (Aging Safely in Alentejo [Preventing Falls and Violence against Elderly]), the present study analyzed 34 formal caregivers from three institutions that provide care to elderly in the Evora district, Portugal. No situations involving violence against institutionalized elderly were detected. Most participants (96.3%) did not exhibit burnout, although they did report feeling physically and emotionally tired.

scholarly journals Prevalence ofSchistosoma mansoniInfection in Four Health Areas of Kisantu Health Zone, Democratic Republic of the Congo

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
R. Khonde Kumbu ◽  
K. Mbanzulu Makola ◽  
Lu Bin
Keyword(s):  
Public Health ◽  
Schistosoma Mansoni ◽  
Health Problem ◽  
Democratic Republic ◽  
Infection Intensity ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Republic Of The Congo ◽  
Health Zone

Background. Schistosomiasis is a public health problem in Democratic Republic of the Congo but estimates of its prevalence vary widely. The aim of this study was to determine prevalence ofSchistosoma mansoniinfection and associated risk factors among children in 4 health areas of Kisantu health zone.Methods. A cross-sectional study was carried out in 4 health areas of Kisantu health zone. 388 children randomly selected were screened forS. mansoniusing Kato Katz technique and the sociodemographic data was collected. Data were entered and encoded using software EpiData version 3.1. Analysis was performed using SPSS version 21 software.Results. The prevalence ofS. mansoniwas 26.5% (103); almost two-thirds (63) (61.2%) had light infection intensity. A significant association was found betweenS. mansoniinfection and age (p=0.005), educational level (p=0.001), and practices of swimming/bathing (p<0.001) and using water from river/lake/stream for domestic use (p<0.001). Kipasa health area had high prevalence of schistosomiasis (64.6%) (64/99; 95% CI 54.4–74.0) compared to other health areas.Conclusion.Schistosoma mansoniinfection still remains a public health problem in these areas. There is a need to promote health education and promote behavioral changes in children towards schistosomiasis.

scholarly journals Knowledge, attitude, and practices on disposal methods of expired and unused medicines among students in public academic institutions in Lusaka, Zambia

2021 ◽  
Vol 10 (7) ◽  
pp. 774
Author(s):  
Martin Kampamba ◽  
Trevor Cheela ◽  
Christabel Nang’andu Hikaambo ◽  
Steward Mudenda ◽  
Kennedy Saini ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Academic Institutions ◽  
Cross Sectional ◽  
Face To Face ◽  
Take Back ◽  
Study Participants ◽  
Expired Medicines

Background: Unsafe disposal of unused and expired household medicines is a public health problem and mostly occur because of a lack of knowledge towards suitable medicine disposal methods. Thus, we aimed to assess the knowledge, attitude, and practices on the disposal methods of unused and expired medicines among students in public academic institutions in Lusaka, Zambia.Methods: This was a cross-sectional study in which 385 students from three higher learning academic institutions were interviewed face to face using a structured questionnaire from 10th May to 24th June 2019. The cleaned data was then transferred to statistical package for social science (SPSS) version 25.0 for analysis.Results: The mean age of the participants was 23 (SD±2.9). Out of the 385 participants, 215 (55.8%) did not know much about medical waste and 345 (89.6%) of them did not have any previous information regarding proper and safe disposal of unused and expired medicine. However, 351 (91.4%) of the participants appropriately responded that unsafe disposal of unused and expired medicine poses a threat to human health and can harm the environment. Throwing unused and expired medicine in household garbage/bin was the most frequently used disposal practice followed by flushing them in toilet/sink as responded by 231 (60.0%) and 128 (33.3%) of participants respectively. Only 17 (4.42%) reported returning unused and expired medicines to the nearest pharmacy.  Conclusions: The majority of the study participants used unsafe methods to dispose of unused and expired medicine. However, most of the participants acknowledged that unsafe disposal of unused and expired medicines is a public health problem and proposed the need to introduce drug take-back programs in the communities.  

scholarly journals Perfil epidemiológico da sífilis congênita

2019 ◽  
Vol 13 (3) ◽  
pp. 604
Author(s):  
Isadora Maria Delmiro Silva ◽  
Eliane Maria Medeiros Leal ◽  
Helder Freire Pacheco ◽  
José Gilmar de Souza Junior ◽  
Filipe Santana da Silva
Keyword(s):  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Health Profile ◽  
Sectional Study ◽  
Annual Incidence Rate ◽  
Cross Sectional ◽  
Live Births ◽  
El Sistema ◽  
Epidemiological Profile

RESUMOObjetivo: descrever o perfil epidemiológico dos casos de Sífilis Congênita (SC) notificados em um município nordestino. Método: trata-se de um estudo do tipo seccional, de caráter descritivo, de todos os casos de sífilis congênita notificados pelo Sistema de Informação de Agravos de Notificação (SINAN) e pelo Sistema de Informações sobre Nascidos Vivos (SINASC). Apresentam-se os resultados em forma de tabelas. Resultados: identificaram-se 57 casos, com taxa anual média de incidência de SC de 6,72 casos por mil nascidos vivos (NV), entre 2011-2015, variando de 11,20/1000 NV em 2012 a 3,77/1000 NV em 2015. Registrou-se no período uma diminuição de 7,4% nos casos, porém, ainda ultrapassando a meta do Ministério da Saúde de incidência menor ou igual a 1/1000 NV. Conclusão: aponta-se, pelo estudo, a necessidade de melhorias na qualidade da assistência pré-natal, pois, mesmo havendo a diminuição na incidência da SC, os indicadores mostram valores distantes da meta. Descritores: Sífilis Congênita; Nascimento Vivo; Nascimento; Gravidez; Perfil de Saúde; Vigilância; Epidemiologia.ABSTRACT Objective: to describe the epidemiological profile of Congenital Syphilis (CS) cases reported in a Northeastern municipality. Method: this is a cross-sectional study of all cases of congenital syphilis reported by the SINAN and the SINASC. The results are presented in the form of tables. Results: 57 cases were identified, with a mean annual incidence rate of SC of 6.72 cases per thousand live births (LB), between 2011-2015, ranging from 11.20 / 1000 LB in 2012 to 3.77 / 1000 LB in 2015. A reduction of 7.4% in cases was recorded in the period, however, still exceeding the target of the Ministry of Health of incidence less than or equal to 1/1000 LB. Conclusion: the study points to the need for improvements in the quality of prenatal care, since even though there is a decrease in the incidence of CS, the indicators show values that are distant from the goal. Descriptors: Congenital syphilis; Live Birth; Birth; Pregnancy; Health Profile; Surveillance; Epidemiology.RESUMENObjetivo: describir el perfil epidemiológico de los casos de Sífilis Congénita (SC) notificados en un municipio nordestino. Método: se trata de un estudio del tipo seccional, de carácter descriptivo, de todos los casos de sífilis congénita notificados por el Sistema de Información de Agravios de Notificación (SINAN) y por el Sistema de Información sobre Nacidos Vivos (SINASC). Se presentan los resultados en forma de tablas. Resultados: se identificaron 57 casos, con una tasa anual media de incidencia de SC de 6,72 casos por mil nacidos vivos (NV), entre 2011-2015, variando de 11,20 / 1000 NV en 2012 a 3,77 / 1000 NV en el año En el período se redujo un 7,4% en los casos, pero superando la meta del Ministerio de Salud de incidencia menor o igual a 1/1000 NV. Conclusión: se señala, por el estudio, la necesidad de mejoras en la calidad de la asistencia prenatal, pues, aun habiendo la disminución en la incidencia de la SC, los indicadores muestran valores distantes de la meta. Descriptores: Sífilis Congénita; Nacimiento Vivo; Nacimiento; Embarazo; Perfil de Salud; Vigilancia; Epidemiología.

scholarly journals Utilization of vitamin A supplementation services in high priority districts of Bihar

2018 ◽  
Vol 5 (2) ◽  
pp. 667
Author(s):  
Nivedita Sinha ◽  
Rajesh R. Sinha ◽  
Ajay Krishna ◽  
Rashmi Singh
Keyword(s):  
Public Health ◽  
Vitamin A ◽  
Observational Study ◽  
Health Problem ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Short Term ◽  
Cross Sectional ◽  
Vitamin A Supplementation ◽  
Ultimate Outcome

Background: Vitamin A deficiency (VAD) is a major preventable public health problem. Prevalence of VAD in preschool children was 5.7% (India), and 4.5% (Bihar). India is implementing biannual Vitamin A Supplementation (VAS) since 2007 along with 80 other countries. VAS was originally proposed as a short term measure, followed by dietary improvement. Since vulnerability to VAD is more in high priority districts (HPDs), it was deemed worthwhile to study the extent to which VAS programme is utilized in the 10 HPDs of Bihar with respect to the processes involved and the ultimate outcome of empowering the community with knowledge and capacity to combat VAD on their own.Methods: Cross sectional observational study conducted in 6 randomly selected blocks and 5 session sites per block of the 10 HPDs. 300 sites sampled for processes and 893 caregivers interviewed for their knowledge.Results: Out of 300 sites, 269 sites found functional, 30.85% sites had due lists and 30.11% had MCP cards; 20.44% had adequate VA. IEC displayed at 52.78% and 71.3% sessions conducted in shade. In 79.55% sites efforts made to determine age of child before administration. Correct use of recommended spoon known to 80.66%, benefits of VA to 76.57% and diseases due to VAD to 81.7% of FLWs. Knowledge regarding VA good in 33.4% of caregivers, average in 35.5%, and poor in 30.9%.Conclusions: Crucial gaps found in necessary inputs and conduct of VAS. Community knowledge found lacking for sustainable programme withdrawal. Better programme management will improve utilization. 

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