A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Kumar, A.
- Observations on Clinical Trial of Dexatopic Cream in Some Dermatoses
Authors
1 Department of Skin & V.D., P.M.C.H., Patna, IN
Source
The Indian Practitioner, Vol 33, No 6 (1980), Pagination: 291-299Abstract
No Abstract.
- Appraisal of Functioning of Janani Suraksha Yojna: a Safe Motherhood Intervention in Rural Blocks of Haryana
Authors
1 Dept of Community Medicine, Lady Hardinge Medical College, New Delhi, IN
2 Community Medicine, Lady Hardinge Medical College, New Delhi, IN
3 SMO, National Polio Surveillance Project (NPSP), Bareily, UP, IN
4 Community Medicine, Govt. Medical College, Nalhar, Mewat, Haryana, IN
Source
The Indian Practitioner, Vol 69, No 5 (2016), Pagination: 38-42Abstract
Context: The Government of India had launched Janani Suraksha Yojana (JSY), in the year 2005, as a safe motherhood intervention to reduce maternal and infant mortality rate through better provision and utilisation of Mother and Child Health (MCH) services. Though the scheme was promising enough, its implementation and utilisation were not uniformly implemented across the country due to lack of awareness of the common people, accessibility of the health services and availability of funds.Aims: The present study was conducted to evaluate the operational mechanism of JSY and to assess the quality of services and perception of mothers regarding it.
Settings and Design: This was a rapid appraisal study conducted in four sub-centres, selected purposively, from two rural blocks of Haryana, a province of North India. The study design adopted was cross sectional.
Methods and Material: All the beneficiaries who received the benefits from 1.4.2009 to 31.3.2010 were enrolled in the study. The data were collected from beneficiaries regarding various aspects of JSY, using semi-structured schedule by carrying in-depth interviews, conducting house-to-house survey. Multi-purpose health workers - female (MPHW-F) of the sub-centres, accredited social health activist (ASHA) serving in the area and the concerned Medical Officer of the primary health centre (PHC) were also interviewed regarding implementation of JSY.
Results: Most of beneficiaries belonged to below poverty line (BPL) as well as schedule caste categories. Less than 15% of the beneficiaries received payment within one month. More than 80% of the beneficiaries got ≥ 2 ante-natal checkups, while post-natal checkups were received by less than 10%. More than two-third of the deliveries were still conducted at home.
Conclusion: More stress should be laid on the implementation of JSY in terms of place of delivery, provision of postnatal care and timely release of the monetary grants, so that the targeted objectives of this strategy can be achieved in a timely manner.
Keywords
Safe Motherhood Intervention, Rapid Appraisal, Maternal Mortality, Janani Suraksha Yojna.References
- UNICEF. The Province of World’s Children 2009. Maternal and Newborn health. New York: UNICEF; 2008.
- UNICEF. The Progress of Nations. New York: UNICEF; 1996.
- SRS. Special bulletin on Maternal Mortality in India 200406 [internet]. April 2009 [cited 2010 Dec 4]. Available from: http://www.mp.gov.in/health/MMR-Bulletin-April-2009.pdf
- MOHFW, GOI. Janani Suraksha Yojna, Guidelines for implementation [internet]. 2006 [updated 2006 Dec 12; cited 2010 Nov 30]. Available from: http://www.mohfw.nic.in/dofw website/JSY_features_FAQ_Nov_2006.htm
- Nandan D, Agarwal D. Rapid Appraisal of health interventions. Indian J Public Health.2009;53(3):127
- Sharma MP, Soni SC, Bhattacharya M, Datta U, Gupta S, Nandan D. An assessment of institutional deliveries under JSY at different levels of health care in Jaipur district, Rajasthan. Indian J Public Health.2009;53(3):177-81.
- Pal DK, Toppo M, Gupta S, Nair KS, Khattar P, Nandan D. A rapid appraisal of functioning of district programme management units under NRHM in Madhya Pradesh. Indian J Public Health. 2009;53(3):151-7
- International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS-3) 2005–06 India Volume I. Mumbai: IIPS;2007.
- International Institute for Population Sciences. District Level Household and Facility Survey (DLHS-3) 2007-08 India, Haryana. Mumbai: IIPS;2010.
- International Institute for Population Sciences. District Level Household and Facility Survey (DLHS-3), 2007-08 India, Rajasthan. Mumbai: IIPS;2010.
- Srivastava RK, Kansal S, Tiwari VK, Piang L, Chand R, Nandan D. Assessment of utilization of RCH services and client satisfaction at different levels of health facilities in Varanasi district. Indian J Public Health. 2009;53(3):183-9
- Malini S, Tripathi RM, Khattar P, Nair KS, Tekhre YL, Dhar N et al. A rapid appraisal of functioning of Janani Suraksha Yojna in South Orissa. Health and Population: Perspectives and Issues. 2008;31(2):126-31.
- Dixit S, Sakalle S, Bansal M, Bagga R, Srivastava TG, Tiwari VK et al. A study of utilization of untied funds in subcentres in Indore division under National Rural Health Mission. Health and Population: Perspectives and Issues. 2008;31(2):94-7
- Singh CM, Jain PK, Nair KS, Kumar P, Dhar N, Nandan D. Assessment of utilization of untied funds under the National Rural Health Mission in Uttar Pradesh. Indian J Public Health. 2009;53(3):137-42.
- Clinical Profile, Pattern of Disease, Duration of Stay and Outcome of Patients Admitted in RICU at Tertiary Care Centre of Rohilkhand Region Bareilly
Authors
1 Department of Pulmonary (Chest) Medicine, Rohikhand Medical College & Hospital, Bareilly, IN
Source
The Indian Practitioner, Vol 69, No 7 (2016), Pagination: 23-27Abstract
Introduction: Respiratory intensive care unit(RICU) is an area within hospital which is well equipped and under control of specialised team of doctors, nurses and paramedical staff for providing all possible health facilities to the patient. It is also a specialised place for the monitoring and treatment of patients with acute respiratory failure due to primary respiratory cause and of patient with acute or chronic respiratory failure.
Aim: The aim of this study was to determine the clinical profile, pattern of disease, duration of stay and outcome of patients admitted in RICU at tertiary care centre of Rohilkhand Medical College and Hospital (RMCH), Bareilly.
Methodology: For the practical approach the study was conducted on 144 patients of the RICU. The analysis included patients who were hospitalised in the RICU of Deptt. of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly from May 2014 until May 2015. Results: There were 144 admission during the study period. 102 were male and 42 were female. 46% were referred from the Emergency department (ED) and 40% of patients came from other ICU and hospitals. The most common complaints of patients was breathlessness in 86.1% and cough 68.02%. Most patients had admission in the ICU because of Respiratory Disorders and were ≥ 50 yrs. Average ICU stay was 4.5 days. About 48% of patients showed response to Oxygen inhalational therapy, but 23% patients were put on mechanical ventilator. > 60% patients were discharged from RICU, 16% died and 15% patient discharged and referred to higher centres.
Conclusion: Respiratory problems are the major reason for an RICU admission. Most common indication for admission was Type II respiratory failure and most common cause was acute exacerbation (AE) of COPD. > 70% of patients were improved and discharged.
Keywords
Intensive Care Unit, Respiratory Failure, Acute Exacerbation, Emergency Department, Outcome.References
- Friedrichs.J.O, Wilson.G, Chant.C. Long-term outcomes and clinical predictors of hospital mortality in very long stay intensive care unit patients. Crit. Care (2006;10(2):59).
- Moreno.R, Agthe.D. ICU discharge decision-making: are we able to decrease post-ICU mortality. Intensive Care Med. (1999;10(25):1035–1036).
- Curran.J, Grounds.R.M. Ward versus intensive care management of high-risk surgical patients. Br. J. Surg. (1998;85:956– 961).
- Zamzam.M.A, El Aziz.A.A.A, Elhefnaw.M.Y, Shaheen.N.A. Study of characteristics and outcome of patients on mechanical ventilaton in the intensive care unit of EL-Mahalla Chest Hospital. Egy.J.Chest diseases and Tuberculosis. (2015;64:693701).
- Ghoneim.A.H.A, Hussein.R, El-Ghamry .R, Mahmoud .L.Y. Patterns of admitted cases to Respiratory Intensive care unit at Zagazig University Hospitals. Egypt. Egy.J.Chest diseases and Tuberculosis. (2013;62: 661-668)
- Maniou.M. Measurement of patients’ admissions to an intensive care unit of Crete. Health Science Journal. (2012; 6(3): 469-478)
- Finkielman.J.D, Morales.J, Peters.S.G, et al. Mortality rate and length of stay of patients admitted to the intensive care unit in July. Crit. Care Med. (2004; 32(5):1161–1165)
- Ugun.I, Metintas.M, Moral.H, Alatas.F, Yildirim.H, Erginel.S. Predictors of hospital outcome and intubation in COPD patients admitted to the respiratory ICU for acute hypercapnic respiratory failure. Respiratory Medicine. (2005;100:66-74)
- Bolaji.B.O, Kolawole.I.K, The Intensive Care Unit of the University Teaching Hospital, Ilorin, Nigeria: a ten year review (1991–2001), S. Afr. J. Anesth. Analg. (2005; 146–150).
- Weissman .C. Analyzing Intensive care unit lengh of stays data: problems and possible solutions. Crit. Care Med. (1997; 25(9):1594-1600).
- Sprung CL, Geber D, Eidelman LA, Baras M, Pizov R, Nimrod A, et al. Evaluation of triage for intensive care admission. Crit Care Med. (1999; 27(2):1073-1079).