ABSTRACT
Background: Dengue infection is caused by any one of four distinct but closely related dengue virus. Infection with any of the four dengue serotypes can produce the full spectrum of illness and severity. Early clinical recognition of dengue infection and anticipatory treatment for those who develop DHF or DSS can save lives. Objectives: To know the common presenting symptoms and clinical profile of dengue patients presenting at tertiary care hospital . Methods; A cross sectional study was carried out on all the cases of dengue fever and dengue hemorrhagic fever admitted in medicine department, BJ Medical College, Ahmadabad from May-2007 to December 2009. Results: dengue is common in age group between 11-30 years, which includes almost 76% of total patients. Dengue fever in the absence of haemorrhage of features of shock is the commonest entity. It includes 80% of all patients. Cases of dengue haemorrhagic fever are 14% and only 6% of patients develop dengue shock syndrome. Fever is most common feature by which patients present themselves at hospital.90% of the patients having symptom called fever in our study. Most common clinical finding was hepatomegaly in 20% of patients. Conclusion: The dengue fever is common in 11-30 years of age group with fever is more common presentation.
ABSTRACT
Background & Objectives: India, with 1.22 billion populations, is the second most populous country in the world. India contributes 17.31% population in the world. Demographers expect India's population to surpass the population of China by 2030. Recent data of NFHS III revealed that 13% of married women have unmet need for family planning in India so this study was planned to estimate the prevalence of unmet need for Family Planning among married women of reproductive age residing at UHTC area Government Medical College Bhavnagar and to find out the determinants of unmet need for Family Planning in the study population. Methods: This was a cross sectional descriptive study conducted in UHTC catchment area of Government Medical College; Bhavnagar from August 2011 to October 2011. The calculated sample size was 140 (P=9.76, L=5%). A total 150 married women of reproductive age group (15-49 years) were interviewed for the same with their informed consent. The data were entered and analysed in software epi.info.3.5.1. Results: The prevalence of unmet need for Family Planning in UHTC catchment area was found to 18.7%. The unmet need was higher for temporary methods of Family Planning (10.0%), in the women age group of 20-29 years (71.5%), Illiterate (42.8%), Muslim women(42.8%), poor knowledge of contraception(82.1%), no advice on Family Planning (57.1%) and no male participation (75.0%). These entire variable were found to be associated with high unmet need for Family Planning (P<0.05). Interpretation & Conclusion: The present study concluded that the percentage of unmet need years, low education and also in Muslim religious women. To decrease unmet need family planning measures should be specifically directed toward this group of women. Health education and strategic behaviour change communication for appropriate target audience is requiring cope up unmet need.
ABSTRACT
Background & Objectives: The importance of maternal health services in reducing maternal and infant morbidity and mortality has received increasing recognition. Studies have shown that the uptake of maternal health care (MHC) in developing countries has significant consequences for both the safe transition of the mother through pregnancy and child birth, and the survival and health of the child during early infancy So the objective of this study is to examine the existing pattern of maternal health care utilization in Ahmedabad District. Methods: This was a cross sectional study done in Ahmedabad district during November 2010-december 2010. Results: Most of women were from the age groups 20 to 24 years. The iron folic acid tablet intake was found higher in urban women (82%) then rural women (66%). All over ANC visits given or taken were found more in urban area (84%) as compare to rural area (78%). While supplementary nutritional services are utilized more in rural area (64%). Almost equal number of institutional deliveries took place in both rural and urban area. The counselling regarding family planning and breast feeding were given more in urban area (81%). Interpretation & Conclusion: The analysis presented in this paper has enabled the examination of the differences in the maternal health care utilization between these very diverse sub-groups. Thus, it may be conclude that, there is a need for formulation of revised strategies for better and effective reach of maternal health care services in India as a whole.
ABSTRACT
Background & Objectives: The importance of maternal health services in reducing maternal and infant morbidity and mortality has received increasing recognition. Studies have shown that the uptake of maternal health care (MHC) in developing countries has significant consequences for both the safe transition of the mother through pregnancy and child birth, and the survival and health of the child during early infancy So the objective of this study is to examine the existing pattern of maternal health care utilization in Ahmedabad District. Methods: This was a cross sectional study done in Ahmedabad district during November 2010-december 2010. Results: Most of women were from the age groups 20 to 24 years. The iron folic acid tablet intake was found higher in urban women (82%) then rural women (66%). All over ANC visits given or taken were found more in urban area (84%) as compare to rural area (78%). While supplementary nutritional services are utilized more in rural area (64%). Almost equal number of institutional deliveries took place in both rural and urban area. The counselling regarding family planning and breast feeding were given more in urban area (81%). Interpretation & Conclusion: The analysis presented in this paper has enabled the examination of the differences in the maternal health care utilization between these very diverse sub-groups. Thus, it may be conclude that, there is a need for formulation of revised strategies for better and effective reach of maternal health care services in India as a whole.