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
Singh, R K
- Assessment of Infrastructure Facilities, Manpower and Services in Primary Health Centres of Chittoor District, Andhra Pradesh
Authors
1 Dept of Community Medicine, Chennai Medical College Hospital and Research Center, Irungalur, Trichy-621105, Tamil Nadu, IN
2 Alluri Sitarama Raju Academy of Medical Sciences, Eluru, Andhra Pradesh, IN
3 N. R. I. Medical College, Mangalagiri, Andhra Pradesh, IN
4 S. V. Medical College, Tirupati, Andhra Pradesh, IN
5 Chennai Medical College Hospital and Research Center, Trichy, Tamil Nadu, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 1-5Abstract
Background: Since their establishment, the Primary Health Centers (PHCs) are being criticized for their inability to perform up to the expectations because of various reasons among which inadequate infrastructure and manpower is one reason.
Objective: To assess the infrastructure facilities and manpower among the selected PHCs of Chittoor District.
Materials and Method: This cross-sectional study was conducted among 22 stratified randomly selected PHCs of Chittoor District, Andhra Pradesh which had 88 PHCs i.e. 25.0% of the total existing PHCs of the District. PHCs established within the last 5 years were excluded from the study. Assessment of the existing infrastructure and equipment and the manpower and health services being provided by the PHCs with respect to the Indian Public Health Standards was done. The data has been analyzed by Microsoft excel using proportions.
Results: Each PHC on an average had 10 sub-centres, covering the population of 49,728. 63.6% of PHCs were providing in-patient services and 63.6%, the emergency services. 43.9% and 36.3% of the PHCs failed to meet the IPH Standards with respect to having Medical Officer and Lady Medical Officer. Only 59.0% of PHCs were conducting deliveries despite the presence of labour room. Sufficient quantity of drugs was present in only 71.9% of PHCs.
Conclusions: Not all the PHCs were providing the in-patient as well as emergency services including MTP and round the clock services. Most PHCs were not staffed as per the IPHS norms and were also without sufficient quantity of drugs.
Keywords
Primary Health Centre, Infrastructure, Manpower, Health Services, Indian Public Health Standards
References
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- A Community Based Study on the Prevalence of Disability and Rehabilitative Services Provided to the Disabled Person in the Rural Area of Tamil Nadu
Authors
1 Dept of Community Medicine, Chennai Medical College Hospital and Research Center, Irungalur, Trichy-621105, Tamil Nadu, IN
2 Chennai Medical college Hospital and Research Center, Trichy, Tamil Nadu, IN
3 Kanchi Kamakoti Child Trust Hospital Chennai, Tamil Nadu, IN
4 Chennai Medical College Hospital and Research Center, Trichy, Tamil Nadu, IN
5 Kanchi Kamakoti Child Trust Hospital Chennai, Tamil Nadu, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 66-70Abstract
Background: In the past three decades, the concept of disability has shifted from individual impairment to a more social phenomenon. Thus disability became a complex phenomenon. It is social problem where the disabled population become a liability to the society. Interventions usually included medical rehabilitation and the provision of social assistance. Poverty can cause disability with its associated malnutrition, poor health services, improper sanitation, unsafe living and working conditions.
Objective:
1. To assesses the socio demographic distribution of disability.
2. To study the pattern and extent of rehabilitative services provided to the disabled persons in rural area of Tamil Nadu.
Materials and Method: A community based cross-sectional study was conducted between August 2010-and December 2011 in randomly selected 19 villages of Lalgudi Taluk of Trichy district Tamil Nadu state, India.
Method: The age group of population between 5- 70 years were included. The minimum sample size was 15600. After adding the non response error of 5% another 780 people were added and total studied population was 16,404 at the field practice area of Valadi a Rural Health Training Centre (RHTC), of Chennai Medical College Hospital and Research Centre, Trichy. Data were analysed by means, proportions and Chi-Square test.
Results: In the study area it was noticed that overall disability rate was 0.85%, and both male and female disability rate was almost same (0.8%). The studied population comprised of Hindu (82.4%), Christians (12.8%) and Muslims (2.8%). The community status of studied population majority 86 (61.4%) were belonging to Backward category (BC). The physical status of disability showed the majority of them were locomotor type (44.2%) followed by mental disorder (27.8%), Deaf & Dumb (13.5%), and Visual (10.0%). Majority of the disabilities were due to the congenital causes 85 (60.7%), second most common cause was accident 29 (20.7%). Out of 140 disabled, only 61 (43.5%) were assisted with financial support, and remaining 79 (56.5%) were not supported by any type of assistance.
Conclusion and Recommendation: Disability has emerged as an important public health problem in our study area. There is a large gap found between the felt need of the disabled and service provided to them by the government and other organizations. There is a need for community assistance and community based rehabilitation (CBR).
Keywords
Disability, Rehabilitative Services, Community Based Rehabilitation (CBR), Tamil NaduReferences
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