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Publisher: Medknow Publishers   (Total: 426 journals)

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Showing 1 - 200 of 426 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 9, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access  
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 3)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 3)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Critical Care Medicine     Open Access   (Followers: 4, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access  
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)

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Journal Cover
Indian Journal of Community Medicine
Journal Prestige (SJR): 0.37
Citation Impact (citeScore): 1
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0970-0218
Published by Medknow Publishers Homepage  [426 journals]
  • Challenges to healthcare in India - The five A's

    • Authors: Arvind Kasthuri
      Pages: 141 - 143
      Abstract: Arvind Kasthuri
      Indian Journal of Community Medicine 2018 43(3):141-143

      Citation: Indian Journal of Community Medicine 2018 43(3):141-143
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_194_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Capacity building of private sector workforce for public health services
           in India: Scope and challenges

    • Authors: Sembagamuthu Sembiah, Bobby Paul, Aparajita Dasgupta, Lina Bandyopadhyay
      Pages: 144 - 147
      Abstract: Sembagamuthu Sembiah, Bobby Paul, Aparajita Dasgupta, Lina Bandyopadhyay
      Indian Journal of Community Medicine 2018 43(3):144-147
      Indian health sector is a complex admixture of public and private providers, but several lacunae of public health service delivery system in terms of human resource, access, and quality have resulted in unprecedented growth of private sector. Although seamless delivery of services at rural and urban areas, timely approach, and improved information technology system are the strength of the private sector, this package comes at the cost of high out-of-pocket expenditure. Mobilization of private sector health workforce by their capacity building in terms of orientation toward public health services is one of the available solutions to move toward wider coverage of public health services. However, numerous challenges need to be addressed before realization of this vision.
      Citation: Indian Journal of Community Medicine 2018 43(3):144-147
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_316_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Assessment of functioning of village health nutrition and sanitation
           committees in a District in Maharashtra

    • Authors: Raviraj Uttamrao Kamble, Bishan S Garg, Abhishek V Raut, Madhukar S Bharambe
      Pages: 148 - 152
      Abstract: Raviraj Uttamrao Kamble, Bishan S Garg, Abhishek V Raut, Madhukar S Bharambe
      Indian Journal of Community Medicine 2018 43(3):148-152
      Background: Community participation is one of the core principles of primary healthcare. The village health nutrition and sanitation committee (VHNSC), one of the elements in implementation of the National Health Mission (NHM), is an example of community participation. There are not many studies conducted to assess the actual participation of VHNSC in health-care delivery at the village level. Objective: The objective of the study is to develop a VHNSC Maturity Index (VMI) and pilot it to assess the institutional maturity of VHNSC. Materials and Methods: This community-based, cross-sectional study was conducted in 83 villages under four Primary Health Centres (PHCs) of the Wardha Community Development block. VMI was developed, Through several discussion sessions with VHNSC members and staff of the DCM; observations of VHND; attending VHNSC monthly meetings; the VMI was finalized after piloting it in all the four PHC areas. Results: All the 83 VHNSCs were constituted as per norms led down under NHM. Forty-eight (57.8%) VHNSCs had developed an annual Village Health Action Plan, 72 (86.7%) VHNSCs had ≥4 meetings held in the past 6 months, and ≥70% attendance in the past 6 months was observed in 40 (48.2%) VHNSCs. A majority of 82 (98.8%) VHNSCs helped in organizing the village health and nutrition day, 59 (71.1%) VHNSCs monitored the implementation of national health programs. The entire untied fund received in the previous year was utilized by 68 (81.9%) VHNSCs. Conclusion: The study shows that VMI can be used for continuous monitoring and assessment tool for VHNSC to evaluate and plan different health activities.
      Citation: Indian Journal of Community Medicine 2018 43(3):148-152
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_171_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • India has reached on the descending limb of tobacco epidemic

    • Authors: Rohini Ruhil
      Pages: 153 - 156
      Abstract: Rohini Ruhil
      Indian Journal of Community Medicine 2018 43(3):153-156
      Introduction: Till 2016, India was the second largest consumer of tobacco in the world, second only to China. However, in June 2017, the factsheet release of Global Adult Tobacco Survey-2 showed a 6% point decline in the prevalence of tobacco use among adults (>15 years) in the country. Materials and Methods: This is a form of ecological study where trends in aggregate prevalence of tobacco use at country level (using secondary data) were studied in relation to corresponding policy actions over a period of two decades. Results: The results have shown that initial policy actions since the cigarettes act of 1975 till prevention of food adulteration Amendment act of 1995 were largely targeting cigarettes, and so smoking prevalence among men was constantly declining. On the other hand, smokeless tobacco use was increasing among both men and women and reached a peak in 2009–2010. After that, the government took strict policy actions including Food Safety and Standards Authority of India Gutka ban in 2011. There were other persistent efforts, which are discussed in this paper. As a result, a transition has occurred in relation to tobacco epidemic in India. Conclusion: The paper has been concluded with a note that there is no room for complacence and we have a noncommunicable disease action goal to further decline the prevalence of tobacco use in the country to <24.22% by the year 2025.
      Citation: Indian Journal of Community Medicine 2018 43(3):153-156
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_213_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • An epidemiological study of blood pressure and its relation with
           anthropometric measurements among schoolboys of Burdwan Municipal Area,
           West Bengal

    • Authors: Kaushik Nag, Nabarun Karmakar, Indranil Saha, Samir Dasgupta, Bijay Prasad Mukhopadhyay, Md Rafiul Islam Mondal
      Pages: 157 - 160
      Abstract: Kaushik Nag, Nabarun Karmakar, Indranil Saha, Samir Dasgupta, Bijay Prasad Mukhopadhyay, Md Rafiul Islam Mondal
      Indian Journal of Community Medicine 2018 43(3):157-160
      Background: High blood pressure (BP) is often an underdiagnosed problem, because of the asymptomatic nature in early phases of onset during adolescence. This increases the chances of developing complications later during adult life. Objective: The objective of this study was to find the relationship of BP with anthropometric measurements among school-going adolescent boys. Materials and Methods: It was a cross-sectional study conducted among 894 adolescent schoolboys aged 13 to 18 years from July 2013 to October 2014 in schools of Burdwan Municipal area, West Bengal. The required number of students from each school was determined by proportional probability sampling. Then, the required number of students from each school was selected by systematic random sampling technique. BP and anthropometric measurements such as weight, height, and waist circumference were done using standard guidelines. Results: The mean systolic and mean diastolic BP in the study participants was significantly higher with an increase in weight, height, waist circumference, and body mass index (BMI) (P < 0.05). BP was found to be positively correlated with different anthropometric measurements such as weight, height, waist circumference, and BMI, which were statistically significant. Conclusion: Early detection of high BP and application of lifestyle modification among adolescents will be helpful in reducing the burden of high BP in adult life.
      Citation: Indian Journal of Community Medicine 2018 43(3):157-160
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_232_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Relationships between positive deviant behaviors and children of normal
           growth pattern in poorly resourced rural communities

    • Authors: Chitrarpita Saha, Vanisha S Nambiar
      Pages: 161 - 164
      Abstract: Chitrarpita Saha, Vanisha S Nambiar
      Indian Journal of Community Medicine 2018 43(3):161-164
      Background: Promotion of positive deviant behaviors (PDBs) can be crucial to bring sustainable change as these behaviors are likely to be affordable and acceptable by the wider community. Objectives: The objective of this study was to assess if any PDBs exist among poorly resourced rural mothers with young children near Vadodara. Materials and Methods: Mothers of children <5 years (n = 160) were enrolled from four rural clusters near Vadodara based on their current growth status (weight-for-age) and were categorized as PD (n = 65) and negative deviant (ND; n = 95), as per the WHO Anthro Software. Personal interviews were conducted through household (HH) visits using a semistructured questionnaire. Data were elicited on HH socioeconomic status, infant and young child feeding practices, diet pattern, and hygiene–sanitation practices. HH dietary diversity score was calculated individually after collecting data through food frequency questionnaire. Results: Mothers had several significant PDBs (P < 0.05), PD group vs. ND group, less use prelacteals to children (53% vs. 71%) and had more exclusive breastfeeding rates (44% vs. 26%), provided cleaner clothing to children (52% vs. 28%), had sufficient intra-HH food distribution (30% vs. 18%), and scored better in dietary diversity at HH level (52% vs. 28%). Conclusions: PDBs and normal growth patterns do exist in poorly resourced areas, and these mothers can be used as “change agents” by the practicing pediatricians of rural communities for improving child health and nutrition.
      Citation: Indian Journal of Community Medicine 2018 43(3):161-164
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_236_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Association of physical problems and depression with elder abuse in an
           urban community of North India

    • Authors: Shashi Mawar, Pity Koul, Smita Das, Sanjay Gupta
      Pages: 165 - 169
      Abstract: Shashi Mawar, Pity Koul, Smita Das, Sanjay Gupta
      Indian Journal of Community Medicine 2018 43(3):165-169
      Context: Elder abuse is a serious problem that has adverse consequence on health. Still, research on elder abuse is sparse in India. Aims: This study aimed to find the nature, prevalence, and factors such as depression and physical problems associated with elder abuse in an urban North Indian community. Materials and Methods: A cross-sectional study was conducted with 222 elders with 97 males, aged 60 years or older residing in an urban community of Delhi. Elders were assessed for abuse by modified Vulnerability to Abuse Screening Scale questionnaire, Geriatric Depression Scale, and self-reported questions on health problems. Results: Mean age of the study population was 66.3 ± 4.2 years. The overall prevalence of any type of elder abuse was 24.3%. Psychological abuse was the most common type (22.9%) followed by financial abuse (5.8%), physical abuse (1.4%), and anti-constitutional abuse (nil). Among the abused, nearly 20% experienced more than one type of abuse. Thirty-seven women (30%) and 17 men (18%) reported elder abuse. Low income (
      Citation: Indian Journal of Community Medicine 2018 43(3):165-169
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_249_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Ambiguity about selection of cardiovascular risk stratification tools:
           Evidence from a North Indian rural population

    • Authors: Tarundeep Singh, Manju Pilania, Gopal Singh Jat, Rajesh Kumar
      Pages: 170 - 174
      Abstract: Tarundeep Singh, Manju Pilania, Gopal Singh Jat, Rajesh Kumar
      Indian Journal of Community Medicine 2018 43(3):170-174
      Background: Several nonlaboratory based cardiovascular disease (CVD) risk scoring tools are available for resource-limited settings, but the performance of these tools remains to be established in Indian population. This study aimed to assess and compare the performance of the World Health Organization (WHO)/International Society for Hypertension (ISH) risk prediction chart and the Framingham Risk Score (FRS) calculator in an Indian setting. Materials and Methods: This cross-sectional study was carried out among 283 participants aged 30–74 years who attended screening camps in the rural area of Punjab from October to December 2015. Nonlaboratory-based WHO/ISH risk prediction chart for South-East Asia Region and FRS calculator was used to assess the 10-year risk of cardiovascular event. Chi-square test for trend and quadratic weighted kappa were used for analysis. Results: Of total participants, 67.1% were female. Mean age of the study participants was 52.1 (standard deviation ± 11.6) years. Using the WHO/ISH risk prediction chart, 11.3% and 4.9% of the participants were found to have high and very high risk, respectively, whereas, FRS calculator predicted high risk in 13.8% and very high risk in 12.0% for developing CVD in next 10 years. Agreement level between two risk prediction tools was good (67.8%). Conclusion: Although the good agreement was seen between WHO/ISH risk prediction chart and FRS calculator, the proportions of participants having a high and very high risk of CVD identified by these risk prediction tools are significantly different. In resource constraint setting like India, CVD risk prediction tools should be validated for local population by prospective cohort studies to ensure judicious use of resources.
      Citation: Indian Journal of Community Medicine 2018 43(3):170-174
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_255_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Knowledge and skills of ayurvedic and homeopathic practitioners to provide
           skilled birth attendance in India: An observational study

    • Authors: Nomita Chandhiok, Shalini Singh, Nayanjeet Chaudhury, Aparna Shrotri
      Pages: 175 - 179
      Abstract: Nomita Chandhiok, Shalini Singh, Nayanjeet Chaudhury, Aparna Shrotri
      Indian Journal of Community Medicine 2018 43(3):175-179
      Background: To overcome the dearth of trained skilled birth attendants, mainstreaming of doctors from the alternative systems of medicine has been adopted by some states in India. Objectives: The objectives of the study were to explore the adequacy of knowledge and clinical skills of AYUSH practitioners (APs) (ayurvedic and homeopathic) engaged by the state governments to provide maternity care services, with a view to identify gaps if any, and to suggest measures for improvement. Materials and Methods: A cross-sectional observational study was conducted in three states of India (Maharashtra, Rajasthan, and Odisha). The APs were assessed for (a) knowledge of essential obstetric care and identification and management of complications of pregnancy and (b) clinical skills during provision of antenatal and postnatal care (PNC) and during the conduct of deliveries. Adequate knowledge or skill demonstration was defined as a score of 70% or more. Results: A total of 109 APs engaged in 37 peripheral level facilities were assessed. Nearly 76% of APs had adequate theoretical knowledge of essential obstetric care and identification and management of complications of pregnancy. Most APs demonstrated adequate skills while providing antenatal care but were deficient in taking past history and counseling pregnant women for danger signs during pregnancy and childbirth. APs in Maharashtra and Rajasthan had adequate skills for conducting vaginal deliveries but performed poorly in Odisha. Skills for resuscitation of newborn were deficient. Skills for providing PNC were adequate only among APs in Maharashtra. Conclusion: Through provision of appropriate in-service training and an enabling environment, APs may be a useful human resource for providing maternity care in the primary health-care settings in India.
      Citation: Indian Journal of Community Medicine 2018 43(3):175-179
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_280_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • A comparative study on social media usage and health status among students
           studying in pre-university colleges of urban Bengaluru

    • Authors: NR Ramesh Masthi, S Pruthvi, MS Phaneendra
      Pages: 180 - 184
      Abstract: NR Ramesh Masthi, S Pruthvi, MS Phaneendra
      Indian Journal of Community Medicine 2018 43(3):180-184
      Introduction: Social Media usage is a “global consumer phenomenon” with an exponential rise within the past few years. The use of social media websites is among the common activity for today's adolescents, they are sometimes overused/misused, which may lead to social media addiction. Objectives: The objective of this study was to assess and compare the prevalence of social media addiction between Government and Private Pre-University (PU) college study subjects, to assess the health problems related to social media usage among the study subjects, and to assess the various factors associated with social media addiction. Materials and Methods: This cross-sectional study was conducted in Government and Private PU colleges situated in a selected ward of urban Bengaluru city through multistage sampling. A total of 1870 study subjects were recruited. A scale was developed to assess social media addiction. Results: The prevalence of social media addiction was 36.9% among users, distributed equally among private and Government PUs. The most common health problem identified was strain on eyes (38.4%), anger (25.5%), and sleep disturbance (26.1%). Being a male, the habit of smoking, alcohol, and tobacco, consumption of junk food, having ringxiety and selfitis were found to be significant risk factors for social media addiction. Conclusion: Social media addiction was found in over one-thirds of subjects and majority had mild addiction.
      Citation: Indian Journal of Community Medicine 2018 43(3):180-184
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_285_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Assessment of tuberculosis prevalence in newly diagnosed human
           immunodeficiency virus-infected adults attending care and treatment center
           in Gujarat, India

    • Authors: Dixitkumar Jayantibhai Kapadiya, Paresh V Dave, Bhavin Vadera, Pranav Govindbhai Patel, Sudhir Chawla, Deepak Saxena
      Pages: 185 - 189
      Abstract: Dixitkumar Jayantibhai Kapadiya, Paresh V Dave, Bhavin Vadera, Pranav Govindbhai Patel, Sudhir Chawla, Deepak Saxena
      Indian Journal of Community Medicine 2018 43(3):185-189
      Background: Tuberculosis (TB) is first opportunistic infection and leading cause of death among human immunodeficiency virus (HIV)/AIDS. Certainly, the prevalence of TB is expected to differ between general population and HIV-infected persons. This study was conducted to determine the prevalence of TB among newly diagnosed HIV-infected adults attending antiretroviral therapy (ART) center in the state of Gujarat, India. Materials and Methods: Cross-sectional study was carried out among newly diagnosed HIV-infected persons attending ART center from July 2012 to September 2012. Screening of TB symptoms and chest X-ray was done for those who consented. Sputum samples were collected for microscopy with Ziehl–Neelsen method for all presumptive TB cases and those diagnosed as pulmonary TB, culture, and drug susceptibility test was done. Blood samples were collected for CD4+ T-cells count and hemoglobin. Results: Out of 2021 eligible HIV-infected persons, 63.5% were males and 68.2% were in the age group of 26–45 years. The prevalence of TB was 17.8%. Among 360 patients with TB, 102 (28%) had smear positive TB, 86 (24%) had smear-negative TB, and 172 (48%) were diagnosed as extrapulmonary TB. Two hundred and thirty-eight (27%) TB patients with CD4+ T-Cell count below 200 compared to 122 (11%) patients above 200. Conclusion: A high prevalence of TB was found among newly diagnosed HIV-infected adults attending ART center for care and treatment. The prevalence of pulmonary and extrapulmonary TB was almost equal. Chances of TB disease were more with depletion of CD4 counts. The study highlights urgent need of intensive case finding as well as periodic screening of newly diagnosed HIV-infected individuals.
      Citation: Indian Journal of Community Medicine 2018 43(3):185-189
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_291_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Comparison between weight-for-height Z-Score and mid upper arm
           circumference to diagnose children with acute malnutrition in five
           Districts in India

    • Authors: Praveen Kumar, Vasundhara Bijalwan, Narendra Patil, Abner Daniel, Rajesh Sinha, Richa Dua, Anju Seth
      Pages: 190 - 194
      Abstract: Praveen Kumar, Vasundhara Bijalwan, Narendra Patil, Abner Daniel, Rajesh Sinha, Richa Dua, Anju Seth
      Indian Journal of Community Medicine 2018 43(3):190-194
      Background: The World Health Organization recommends weight-for-height Z-score (WHZ) or mid-upper arm circumference (MUAC) and bilateral pitting edema to diagnose acute malnutrition among children aged 6–59 months. WHZ and MUAC identify different sets of children with acute malnutrition, and overlap between their prevalence varies greatly among countries. Objective: The objective of the study was to determine the degree of overlap and agreement between WHZ and MUAC to diagnose children with acute malnutrition in India. Methods: Five nutrition surveys using Standardized Monitoring and Assessment of Relief and Transitions methodology were conducted in four Indian states. A total of 2127 children aged 6–59 months were analyzed. All anthropometric indices were calculated using emergency nutrition assessment software and analyzed in Epi-Info 3.5.4. Results: Of total global acute malnutrition (GAM) cases, 96% and 28.4% cases were diagnosed with WHZ and MUAC, respectively. Similarly, of total severe acute malnutrition (SAM) cases, 95.1% were identified using WHZ and 30% using MUAC. The proportion of overlap between the two criteria for GAM and SAM cases was 24.5% and 25.2%, respectively. The analysis showed that MUAC was comparatively more sensitive to identify acute malnutrition among 6–23-month aged children and females. Conclusion: One-fourth of GAM and SAM cases were identified with both criteria. MUAC identified approximately 30% of the total SAM cases which was lower than other countries. MUAC identified more number of females and younger children, who may have higher mortality risk and would result significantly smaller caseload (68% smaller) that requires intervention compared to when using WHZ.
      Citation: Indian Journal of Community Medicine 2018 43(3):190-194
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_310_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Devadasi and their intimate partners: Dynamics of relationship

    • Authors: Janardhana Navaneetham, Manjula Basavarju, Mutharaju Arelingiah
      Pages: 195 - 198
      Abstract: Janardhana Navaneetham, Manjula Basavarju, Mutharaju Arelingiah
      Indian Journal of Community Medicine 2018 43(3):195-198
      Background: Devadasi practice is still prevalent in some parts of North Karnataka; most of the Devadasis get into sex work for their survival. During sex work, devadasis would get close to their customer, as they feel secure and emotionally satisfied. Objectives: The present study aims at understanding the Devadasi sex worker (DSW) and their intimate partners' (IPs) relationship and knowing the reasons for continuing the relationship even though they experience violence and abuse from their IP. Methods: Exploratory research design was adopted. Purposive sampling was used for the field visits. Data were gathered through personal interviews during field visits along with the counselors who were capacitated to deal with the relationship issues of DSWs and their IPs. Modified thematic analysis was used to analyze twenty field visit reports. Results: This study analyzed the quality and dynamics of the relationship between DSWs and their IP. DSWs and their IP define their relationship as “like marriage” without legal recognition. DSWs accept the violence from their IP as a symbol of love. Violence was identified as a key concern for the sex workers and is often acceptable in their relationship. Conclusion: The relationship between DSWs and their IPs needs to be understood before arriving at the care plan to deal with the relationship issues. There is an urgent need for developing an interventional model for the counselors and equip them to deal with the relationship issues of DSWs.
      Citation: Indian Journal of Community Medicine 2018 43(3):195-198
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_311_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Spatio-Temporal risk-analysis of cancer endemicity in Sulthan Bathery
           Taluk of Wayanad District of Kerala-A geo-informatics approach

    • Authors: Elmy Gory, Rajesh Kumar Sinha, Dola Saha, TR Vinod, NR Crips, Preetam Ashok Gaikwad
      Pages: 199 - 203
      Abstract: Elmy Gory, Rajesh Kumar Sinha, Dola Saha, TR Vinod, NR Crips, Preetam Ashok Gaikwad
      Indian Journal of Community Medicine 2018 43(3):199-203
      Context: Asian countries have to confront with the global burden of cancer and various environmental factors predisposing the incidence. Geoinformatics can assist in spatial autocorrelation and statistical analysis in determining environmental and demographic correspondence to endemicity. What is of prime importance is the availability of the spatial datasets of cancer cases. Aims: The aim of this study was to reveal the distribution pattern of cancer and its magnitude in the eight panchayats of Sulthan Bathery Taluk of Wayanad district. The present study also attempted to develop and implement a data frame facilitating better data collection. Settings and Design: This was a taluk-level cross-sectional retrospective analysis and interventional study. Subjects and Methods: A retrospective survey created a geodatabase with 547 cancer cases registered along the timeline of 2015–2016. Input datasets were geocoded using Google Earth Pro software. Statistical Analysis Used: The analysis was performed using ArcMap-10.2 version. Results: Registration revealed the high breast cancer incidences and temporal increment mainly in town areas. The incidence depicted male predominance and prevalence along the age group of 30–69 years. The pattern showed cancer incidence at a proximity to state borders and forest regions (Noolpuzha) which are high population density regions, instantiated relation of geographic variables, and cancer incidences. The implementation of data frame ensured structured data collection. Conclusions: This study concluded the spatial association of cancer incidence demonstrating the high-risk regions with male predominance and role spatial risk analysis in cancer database management.
      Citation: Indian Journal of Community Medicine 2018 43(3):199-203
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_52_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Prediction model of tuberculosis transmission based on its risk factors
           and socioeconomic position in Indonesia

    • Authors: Dyah Wulan Sumekar Rengganis Wardani, Endro Prasetyo Wahono
      Pages: 204 - 208
      Abstract: Dyah Wulan Sumekar Rengganis Wardani, Endro Prasetyo Wahono
      Indian Journal of Community Medicine 2018 43(3):204-208
      Context: The current evidence shows that people in low-socioeconomic positions tend to be at high risk for tuberculosis (TB) transmission. Aims: The aim of this study is to identify the significance of socioeconomic position and TB risk factors to TB transmission, particularly in Bandar Lampung, Indonesia. Settings and Design: This cross-sectional study, conducting in January–November 2017, included 166 samples of smear-positive TB patients collected from 30 community health centers across the city that had implemented DOTS strategy. Subjects and Methods: The latent variables consisted of the following: socioeconomic position, housing, nutritional, healthcare access, and TB transmission, which was measured through corresponding indicators. The data were collected through in-depth interviews. Statistical Analysis Used: Data analyzed using the partial least square method. Results: Determinants of socioeconomic position through housing determinants significantly influence TB transmission with R2of 42.3%. They also show that education, housing density index, and internal house transmission are the strongest indicators in explaining their associated latent variables. Conclusions: TB control program should be integrated with education improvement, a reduction of housing density index, and strengthened examinations of internal house contacts. These programs should be supported by health institutions and other related institutions. The findings will improve TB control programs, especially in low- and middle-income countries with high-socioeconomic disparity.
      Citation: Indian Journal of Community Medicine 2018 43(3):204-208
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_60_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • District level analysis of routine immunization in Haryana State:
           Implications for mission indradhanush under universal immunization
           programme

    • Authors: Shankar Prinja, Divya Monga, Saroj Kumar Rana, Atul Sharma, Suresh Dalpath, Pankaj Bahuguna, Rakesh Gupta, Arun Kumar Aggarwal
      Pages: 209 - 214
      Abstract: Shankar Prinja, Divya Monga, Saroj Kumar Rana, Atul Sharma, Suresh Dalpath, Pankaj Bahuguna, Rakesh Gupta, Arun Kumar Aggarwal
      Indian Journal of Community Medicine 2018 43(3):209-214
      Background: The immunization coverage in India is far away from satisfactory with full immunization coverage being only 62% at national level. Targeting the intensive efforts to poor performing areas and addressing the determinants of nonimmunization and dropouts offers a quick solution. In this paper, we assess the inter-district variations in Haryana state, and the association of social determinants with partial and no immunization. Methodology: This analysis is based on data collected as part of a large household survey undertaken in the state of Haryana to measure the extent of Universal Health Coverage. A multistage stratified random sampling design was used to select primary sampling units (i.e., subcenters), villages, and households. A total of 11,594 mothers with a child between 12 and 23 months were interviewed on receipt of immunization services. Determinants of nonimmunization and partial immunization were assessed using multiple logistic regression. Results: About 21% of children aged 12–23 months were partially immunized, while 4.3% children aged 12–23 months had received “no immunization.” While the coverage of full immunization was 74.7% at the state level, it varied from 95% in best performing district to 38% in poorest performing district. Odds of a partially immunized child were significantly higher in urban area (odds ratio [OR] = 1.23; 95% confidence interval [CI] = 1.1–1.38), among Muslim household (OR = 3.52; 95% CI = 3.03–4.11), children of illiterate parents (OR = 1.58; 95% CI = 1.22–2.05), and poorest quintile (OR = 1.61; 95% CI = 1.36–1.89). Conclusions: Wide interdistrict variations call for a need to consider changes in resource allocation and strengthening of the government initiatives to improve routine immunization in these districts.
      Citation: Indian Journal of Community Medicine 2018 43(3):209-214
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_306_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Analysis of out-of-pocket expenditure in utilization of maternity care
           services in urban slums of Rajkot City, Gujarat

    • Authors: Sandeep Sharma, Pramod B Verma, Ankit P Viramgami, Mayur C Vala, Kaushik K Lodhiya
      Pages: 215 - 219
      Abstract: Sandeep Sharma, Pramod B Verma, Ankit P Viramgami, Mayur C Vala, Kaushik K Lodhiya
      Indian Journal of Community Medicine 2018 43(3):215-219
      Background: India contributes 20% global maternal deaths every year. An important reason of such maternal mortality is due to cost of maternity services which makes it in accessible to the poor. Knowledge of maternity-related expense and its determinants is useful for health authorities to focus public resources and target financial assistance or exemption guidelines toward the “neediest.” Methodology: It was a cross-sectional descriptive study conducted amongst 180 women living in urban slums and who had delivered a baby within 1 year of the interview date. Results: The mean cost of delivery was around Rs. 8880. The average delivery cost of private institutions was significantly higher than that of government hospitals or home delivery. Around 75% of women delivered in private institution had health expenditure of more than 10% of total annual family income – catastrophic expenditure. Conclusion: In spite of significantly higher maternity care-related costs in private institutes than government hospitals, majority of mothers had utilized services from private clinics and had suffered catastrophic expenditures during utilization of maternity care services. This study highlights the need for birth preparedness counseling as well as effective implementation of maternity benefit schemes to prevent families from pushing downward to the poverty line.
      Citation: Indian Journal of Community Medicine 2018 43(3):215-219
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_47_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Nicotine dependence, its risk indicators, and exhaled carbon monoxide
           levels among the smokers in Bengaluru, India

    • Authors: P Sugavanesh, K Pushpanjali
      Pages: 220 - 223
      Abstract: P Sugavanesh, K Pushpanjali
      Indian Journal of Community Medicine 2018 43(3):220-223
      Background: Tobacco is the significant cause of preventable death worldwide. The prevalence of smoking in India is 13.3%. Among the chemical constituents in the cigarette, nicotine is the one most often associated with dependence resulting in increased consumption of them. Studies have proven the dose-dependent relationship of cigarette smoking with lung and oropharyngeal cancer. Hence, assessment of nicotine dependence among the smokers is essential as it influences the tailor-made intervention. Objectives: The objectives of this study were to assess the nicotine dependence and exhaled carbon monoxide (CO) levels among the smokers in Bengaluru. Materials and Methods: A cross-sectional survey was conducted among 396 smokers selected using probability proportional to size sampling technique. Fagerstrom Test for Nicotine Dependence was used to assess the levels of nicotine dependence. Exhaled CO levels were measured using the Smokerlyzer to indicate the nicotine dependence. Results: About 23.7% of the participants had the very low dependence on nicotine. Nearly 26% and 22.5% of the participants had the high and very high dependence on nicotine correspondingly. The number of years of smoking was found as a significant risk indicator for nicotine dependence. Exhaled CO levels were significantly correlated with the nicotine dependence (P = 0.000) indicating it as a marker for nicotine dependence. Conclusion: The high nicotine dependence among the participants warrants effective public health policies to prevent tobacco-related diseases. Considering the risk indicator, the number of years of smoking, smoking cessation programs should target the participants with the habit of continuous smoking with tailor-made interventions to prevent the relapse among them.
      Citation: Indian Journal of Community Medicine 2018 43(3):220-223
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_98_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Quality of free delivery care among poor mothers in Gujarat, India: A
           community-based study

    • Authors: Kranti S Vora, Shahin L Saiyed, Dileep V Mavalankar
      Pages: 224 - 228
      Abstract: Kranti S Vora, Shahin L Saiyed, Dileep V Mavalankar
      Indian Journal of Community Medicine 2018 43(3):224-228
      Background: Government of Gujarat introduced a public–private partnership scheme called the Chiranjeevi Yojana (CY) in 2005, to improve access to delivery care for poor women. Till date, more than 1 million deliveries have been conducted under CY. Although CY has been evaluated, this is the only study using primary data to evaluate the quality of care. Objective: The objective of this study was to (i) determine the quality of free delivery care and (ii) examine the differences in the quality of care between public sector facilities and accredited private sector facilities. Methodology: The community-based survey was conducted in three districts of Indian state of Gujarat. Trained data collectors used pretested questionnaire in vernacular language between 7th and 10th days of delivery. Overall surveyed mothers were 3858 in the prospective study; analytic sample was 1616 mothers. Statistical analysis includes Chi-square test using IBM SPSS version 20. Results: Quality of care was perceived to be good in both public sector and accredited private sector. When free delivery care was compared between two sectors, private sector was perceived to have better quality of care. This difference was statistically significant for indicators, such as infrastructure, allowed to eat/change positions, application of pressure on abdomen, and weighing of baby. Conclusion: The study highlights the need for engaging private sector to improve access to delivery care for poor women. Quality assurance programs in Gujarat need to address respectful care issues in the public sector. Future research should include qualitative study to understand the drivers of quality delivery care.
      Citation: Indian Journal of Community Medicine 2018 43(3):224-228
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_51_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Morbidity pattern and role of community health workers in urban slums of
           durg and Bhilai City of Chhattisgarh

    • Authors: Kishu Waghela, Nagma Nigar Shah, Somen Saha
      Pages: 229 - 232
      Abstract: Kishu Waghela, Nagma Nigar Shah, Somen Saha
      Indian Journal of Community Medicine 2018 43(3):229-232
      Introduction: In 2002, the Government of Chhattisgarh initiated a Community Health Worker program called the Mitanin Program, to strengthen the health system of Chhattisgarh. The current study was conducted with the twin objectives to assess morbidity pattern and health-seeking behavior in urban slums of Durg and Bhilai to understand the role of Mitanins in health seeking of their slum population. Methods: Ten urban slums, five each from Durg and Bhilai were selected through simple random sampling for the study. Household survey was done using prestructured questionnaire. A total of 1025 households representing 4997 family members were surveyed. Results: The study found that diseases which were most prevalent in the urban slums of Durg and Bhilai are blood pressure and diabetes mellitus. Diseases such as diarrhea, typhoid, hepatitis, tuberculosis, leprosy, and filariasis which have strong association with safe drinking water and sanitation are prevalent. For chronic communicable disease and reproductive and child health (RCH), people from both cities prefer going to public health-care facilities. About a fourth of the population came in contact with the Mitanins to seek health care mostly in relation to chronic communicable diseases and RCH. Conclusion: The study shows an increase in the prevalence of chronic lifestyle diseases among the slum population. There is a case for inclusion of chronic conditions, as specified under Comprehensive Primary Health Care. There is a need to reprioritize Mitanin's role in early diagnosis through point-of-care diagnostics and ensuring prompt referrals and follow-up.
      Citation: Indian Journal of Community Medicine 2018 43(3):229-232
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_53_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Journey to death: Are health systems failing mothers?

    • Authors: Kranti Suresh Vora, Shahin L Saiyed, Sandul Yasobant, Saanchi V Shah, Dileep V Mavalankar
      Pages: 233 - 238
      Abstract: Kranti Suresh Vora, Shahin L Saiyed, Sandul Yasobant, Saanchi V Shah, Dileep V Mavalankar
      Indian Journal of Community Medicine 2018 43(3):233-238
      Background: Annually, about 44,000 maternal deaths occur in India, which is 20% of the global burden. Despite persistent efforts, India failed to meet the fifth millennium development goal by 2015. Lack of reliable data on maternal mortality demands utilization of tools for counting maternal deaths which is vital to implement preventative actions. Objectives: Our study aims to determine health system-related issues of maternal mortality using the WHO validated tool – Maternal Death Review and demonstrates usefulness of maternal death surveillance and review as a monitoring tool. Methods: Fourteen maternal deaths were evaluated through community based and facility-based audits from July 2013 to June 2014 in three districts of Gujarat. Pathways to death were traced through Global Positioning System (GPS). Factors contributing to the three delays were analyzed. Results: Type III delay, that is, delay in receiving adequate care was frequently observed in our review including weak referral linkages, lack of blood banking services, inadequate surgical facilities. and staff shortages. Mothers succumbed, not because they did not seek treatment or reach facilities in time but because facilities were incapable of providing appropriate medical care. Conclusion: Scaling up of maternal death audits and subsequent use of these findings will help to reduce maternal mortality in India. As we continue to push for institutional deliveries, we need to reevaluate if our health system is prepared to manage an increasing number of facility births and obstetric complications.
      Citation: Indian Journal of Community Medicine 2018 43(3):233-238
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_57_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Sexual and reproductive health concerns of adolescents living with
           perinatally infected HIV in India

    • Authors: Mysore Narasimha Vranda, Doddaballapura K Subbakrishna, Jayashreee Ramakrishna, Hukunda Gundaiah Veena
      Pages: 239 - 242
      Abstract: Mysore Narasimha Vranda, Doddaballapura K Subbakrishna, Jayashreee Ramakrishna, Hukunda Gundaiah Veena
      Indian Journal of Community Medicine 2018 43(3):239-242
      Background: With improved access to highly active antiretrieval treatment, many children with perintally acquired HIV are now able live longer. These children are now reaching into adolescence and sexually active. This qualitative, explorative study examines the sexual and reproductive health (SRH) needs and concerns of adolescents living with HIV (ALHIV) in India. Materials and Methods: We used qualitative research design to collect the data. Twenty participants were recruited from two nongovernmental organizations which provide shelter care, education, and emotional and social support to HIV/AIDS orphan children located in Bengaluru District of Karnataka State using purposive sampling. In-depth interview guide was prepared and used to elicit the adolescents' concerns, knowledge, and perspective related to sexuality, marriage, child bearing, and barriers in availing SRH services in the context of HIV. Results: Totally, four themes were emerged from that qualitative data based on thematic analysis, which are as follows: “Perceived challenges in relation to romantic relationship;” “Confusion regarding whether to marry person with HIV positive or HIV negative;” “Aspiration to have children,” and “Perspective of ALHIV in relation to SRH needs and concerns.” Conclusion: The findings of the research brought out the need for policies and guidelines specifically targeting the SRH needs and concerns of ALHIV.
      Citation: Indian Journal of Community Medicine 2018 43(3):239-242
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_5_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Maternal mortality audit in Delhi: Further perspectives

    • Authors: Saurav Basu
      Pages: 243 - 243
      Abstract: Saurav Basu
      Indian Journal of Community Medicine 2018 43(3):243-243

      Citation: Indian Journal of Community Medicine 2018 43(3):243-243
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_258_17
      Issue No: Vol. 43, No. 3 (2018)
       
  • Response from the Authors (Singla et al)[1]

    • Pages: 243 - 243
      Abstract:
      Indian Journal of Community Medicine 2018 43(3):243-243

      Citation: Indian Journal of Community Medicine 2018 43(3):243-243
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/0970-0218.241658
      Issue No: Vol. 43, No. 3 (2018)
       
  • Effect of counseling on newly diagnosed Type 2 diabetes mellitus patients
           visiting a tertiary care hospital: A randomized control trial

    • Authors: Varun S Parmar, Sangita V Patel, Charoo C Iyer
      Pages: 244 - 245
      Abstract: Varun S Parmar, Sangita V Patel, Charoo C Iyer
      Indian Journal of Community Medicine 2018 43(3):244-245

      Citation: Indian Journal of Community Medicine 2018 43(3):244-245
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_61_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Open defecation-free India by 2019: How villages are progressing?

    • Authors: Jay Patwa, Niraj Pandit
      Pages: 246 - 247
      Abstract: Jay Patwa, Niraj Pandit
      Indian Journal of Community Medicine 2018 43(3):246-247

      Citation: Indian Journal of Community Medicine 2018 43(3):246-247
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_83_18
      Issue No: Vol. 43, No. 3 (2018)
       
  • Health-Care services utilization among diabetes patients enrolled in
           tertiary care hospital of East Delhi

    • Authors: Archana Thakur, Tapas Kumar Ray, Manish Kumar Goel
      Pages: 248 - 249
      Abstract: Archana Thakur, Tapas Kumar Ray, Manish Kumar Goel
      Indian Journal of Community Medicine 2018 43(3):248-249

      Citation: Indian Journal of Community Medicine 2018 43(3):248-249
      PubDate: Thu,20 Sep 2018
      DOI: 10.4103/ijcm.IJCM_121_18
      Issue No: Vol. 43, No. 3 (2018)
       
 
 
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