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
Sai, T S R
- 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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- Socio-demographic Determinants of Mental Health Problems among Rural Elderly Population
Authors
1 Department of Community Medicine, Alluri Sitarama Raju Academy of Medical Sciences (ASRAMS), Eluru, Andhra Pradesh. PIN-534005, IN
2 P. E. S. Institute of Medical Sciences and Research, Kuppam, A. P, IN
3 Chennai Medical college Hospital and Research Center, Trichy, Tamil Nadu, IN
4 N. R. I. Medical College, Mangalagiri, A. P, IN
5 S. V. Medical College, Tirupati, A. P, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 33-38Abstract
Background: Mental health problems like depression, cognitive impairment, anxiety, sleep disorders etc. arising out of senility, neurosis and living conditions are common in geriatric population.
Objectives: To study the psychiatric morbidity among the rural elderly in relation to their sociodemographic profile.
Materials and Method: A community based cross-sectional study was conducted among 400 rural elderly subjects aged >60 years living in three randomly selected villages of RHC Chandragiri. Cognitive functioning was assessed by Mini Mental Status Examination and the depression, by Geriatric Depression Scale-Shorter version. Data was analysed with Epi-info software using proportions, chi-square and z tests.
Results: Majority of the subjects were widows/widowers, illiterates, living with family, showing economic dependency. The prevalence of cognitive impairment was 43.25%, with a mean MMSE score of 23.32+4.4 and that of depression were 47.0% and 6.16+3.4 respectively. Cognitive impairment, depression and disturbed sleep pattern were associated with female sex, age, illiteracy, poverty, loneliness and poor status in family.
Conclusions: The study showed a definite association between socio-demographic factors and psychiatric morbidity. Encouraging the NGOs working for the elderly, running of separate clinics and effective implementation of schemes like old age pension are some of the measures to be taken.
Keywords
Geriatric, Socio-demography, Depression, Cognitive Impairment, Sleep Disorders, Mini Mental Status Examination, Geriatric Depression ScaleReferences
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