RESUMO
Background: The role of RHTC set up under MCI requirement of medical colleges is rising in implementation of NRHM phase 2 programme (2012 onwards); as private medical colleges are expanding in India and they can be an important supporter in public-private partnership for national health programmes. Objective of current study was to assess the role of rural health training centre as a supporting component to a primary health care system for NRHM programme. Methods: The present study was carried out by comparative evaluation of the rural health and training centre of a private medical college with a sub-centre (Muzaffarnagar) on key RCH services of NRHM: a) Family planning materials distribution, b) ANC services and c) Immunization services. Inclusion criteria: Proper ethical approval from both primary health care system and private medical college authorities were obtained for the study. Study design: Prospective evaluation based study on ANM in SC & SN in RHTC in NRHM programme for 1 year duration from 1st January 2013 to 31st December 2013. Data analysis: The statistical data was analysed by Epi-info version 7.1.3. Results: The ANC services, family planning services and immunization services delivered under NRHM programme was found to statistically significantly contributed (P <0.05) by SN of RHTC as compared to ANM of SC in area of Bilaspur, Muzaffarnagar (Uttar Pradesh). Conclusion: RHTC of a private medical college in Muzaffarnagar (UP) is significantly contributing and supporting in RCH services of NRHM programme for primary health care system. RHTC of medical colleges can be an asset for public private partnership in NRHM programme.
RESUMO
Background: Currently adolescents mortality and morbidity in rural areas is featured by many causes such as communicable as well as non-communicable diseases apart from accidents, suicides etc which lead to illness or premature death later in their life and their usage of rural health centre services is also emerging to be a new issue. That’s why it is important to study this area critically. Aims & Objective: To study the rural health centre services utilization by adolescents. Materials and Methods: This was prospective study carried out from 1st January 2013 to 31st December 2013. The study was carried out at the rural health and training center (RHTC), Bilaspur of Muzaffarnagar Medical College, Muzaffarnagar (UP) which covers 6 villages. All adolescents attending OPD in year 2013 according to the WHO defined criteria of adolescents (10-19 years) and who gave consent were included and enrolled in this study. Adolescents who did not attend OPD and those who did not give consent for participation in study at RHTC Bilaspur were excluded. Results: The study found that the majority of female patients utilized OPD services of RHTC (53.3%) but main health care service utilized among adolescents was Medical Problem (20.5%) whereas Obstetrical & Gynaecology problems were least (13.8%). Among the other services; most common utilized were dressing for injuries (11.3%) and least utilized were, immunization services (0.8%). Conclusion: The usage of health services utilization of RHTC suggests that there are emerging problems in different health specialties among adolescents, so this area needs further research in future studies.
RESUMO
The present study was conducted in order to find out the use of tobacco amongst adolescents in a village of Wardha district. From the total 2200 population covered, 474 (21.54%) were adolescents {boys 216 (45.57%) and girls 258 (54.43%)}. Majority of the adolescent boys and girls were from unitary family. About 152 boys (70.37%) were using tobacco and remaining boys were non-user of tobacco. About 70 girls were using tobacco and 188 were non-users. Majority of the boys were engaged in tobacco chewing and smoking (69.74% & 17.1% respectively), whereas majority of the girls were found to be practicing other methods of tobacco use (Nas / Mishri, etc.). The exposure of the habit of tobacco use in adolescent was influenced by various factors like peer pressure, friends, elders, boys trying to follow hero images, feel great and powerful when smoking and for fun.