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
Sahu, Trilochan
- A Study on Nutritional and Immunization Status of under Five Children in an Urban Slum of Bhubaneswar, Odisha
Authors
1 Department of Community Medicine, IMS & SUM Hospital, Bhubaneswar, IN
2 IMS & SUM Hospital, Bhubaneswar, IN
3 Dept. of Pediatrics, KIMS, Bhubaneswar, IN
4 Department of Community Medicine, IMS & SUM Hospital, Bhubaneswar
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 176-179Abstract
Background: According to National Family Health Survey - 3 (NFHS-3, 2005-2006), in India, percentage of children (under 3 years) who are stunted are 38 percent, wasted are 19 percent, and underweight are 46 percent.
Objectives: To assess the nutritional and immunization status among under 5 children and to identify the associated factors.
Methodology: In a community based cross sectional survey conducted during May - June 2011 in an urban slum area of Bhubaneswar, a total of 124 children were included. Data on age, sex, family size, socio economic status, per capita monthly income, no. of siblings, H/O passing worms etc. were collected. Their height and weight were recorded along with assessment of immunization status.
Results: It was found that 28.2% of under 5 children were low weight for age. Stunting and wasting was found in 23.4% and 21.8% of children respectively. Under nutrition was more among girls (35.18%) and children of 3-5 years age (29.41%). Under nutrition was found significantly higher among children of illiterate mother (P=0.026), working mother (P=0.011), low social class (P=0.015), children with more no. of siblings (P=0.046) and higher birth order (P=0.023). The other co-morbidities observed were worm infestation (8.06%), anaemia (8.06%), diarrhoea (5.64%) and vitamin A deficiency (1.61%). 43.33% of under 5 children were completely immunized at one year of age and 41.11% were partially immunized.
Conclusion: Health and nutritional education and behaviour change communication activities can be undertaken in the slum for early recognition of under-nutrition.
Keywords
Low Weight for Age, Under Nutrition, Stunting, WastingReferences
- The feeding and care of infants & young children, Dr. Shanti Ghosh, Voluntary Health Association of India, New Delhi, 2nd edition, 1977, Page 73.
- UNICEF INDIA: (Source NFHS, 2005-2006).
- Trends in Children’s Nutritional Status (2007). National Fact Sheet India (NFHS-3). Available from: http://www. nfhsindia.org / factsheet.html.
- Students’ Handbook for IMNCI. Integrated management of Neonatal and Childhood Illness, Ministry of health & family welfare, Government of India, 2007.
- Ghosh S & Shah D, Nutritional problems in Slum children, Indian Pediatrics, 2004; 41:682-696.
- www.who.int/childgrowth/standards/en/
- Mukhopadhyay DK & Biswas AB, Food Security and Anthropometric Failure Among Tribal Children in Bankura, West Bengal, Indian Pediatrics, 2011; VOLUME 48__APRIL 17.
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- Ray SK, Biswas AB,Dasgupta S and Mukherjee D, Rapid Assessment of Nutritional Status and Dietary Pattern in Municipal Area, Ind J Community Medicine, Vol. 25, No. 1 (2000-01 - 2000-03)
- Panda P, Benjamin AI, Zachariah P, Health status of under fives in a Ludhiana slum. Health and Population - Perspectives and Issues, 1993; 16(3&4):133-141.
- Trakroo P, Health of the Urban Poor in India, Indian Journal of Community Medicine, 1992; XVII (3):86-92.
- An Assessment on Functioning of Janani Suraksha Yojana in Anugul District of Odisha
Authors
1 Dept. of Community and Family Medicine, AIIMS, Raipur, IN
2 Dept. of Community Medicine, MKCG Medical College, Berhampur, IN
3 Dept. of Community Medicine, IMS and SUM Hospital, Bhubaneswar, IN
4 Medical officer, PHC, Kanheipur, IN
5 Guangya International School
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 11-15Abstract
Introduction: The JSY Scheme was under implementation in Odisha since April 2006 and cash assistance was provided to the users with the changing rules at different times for mode of fund disbursement.
Objective: To review the implementation process of JSY in the Anugul district of Orissa and to provide inputs for any corrective actions.
Methodology: A cross sectional study was conducted in Anugul district of Orissa during the month of October 2010.Thirty villages were selected using PPS (probability proportionate to population size) sampling and 300 women who have delivered in last 1 yr in any govt or accredited private institution formed the study population.
Result: Total 309 respondents were interviewed. For 96.7% (299) , the place of delivery was government health institutions. The ASHAs played a major role (95%) in motivating the women for institutional delivery.69% of beneficiaries had made arrangement for transportation to health facility at their own cost. In 52.8% (163) cases delivery was conducted by ANM /Nurse. Doctor conducted delivery in 45% (141). Only 10% of beneficiaries had a stay for mandatory 48 hrs in health facility. 60% of those who stayed for less than 48hrs in health institution stated that they were discharged from hospital due to lack of bed facility. 53.4% (160) of respondents found the condition of toilet satisfactory during their stay at health facility. 98.7% have received JSY cash incentive, 52% received the payment within 24-48 hrs where as 30% got it within one week. Most of the beneficiaries utilized JSY money in buying consumable products for the family (44.2%) or in purchase of drugs (39.9%).
Conclusion: IEC regarding availability of transport facility under JSY need to be strengthened. Infrastructure, supplies and human resources should be strengthened at all levels under the JSY. E transfer system should be adopted for payment of money and an account for beneficiary should be opened during pregnancy.
Keywords
Functional Status, Janani Surakhya YojanaReferences
- Janani Surakhya Yojana: Guidelines for implementation www.mohfw.nic.in/NRHM/ guidelines/JSY_guidelines_09_06.pdf
- Operational guidelines for implementation of Janani Surakhya Yojana, NRHM, Govt Of Orissa http://angul.nic.in/JSY.pdf
- An assessment of functioning and impact of janani suraksha yojana in Orissa http:// nihfw.org/pdf/RAHI-I%20Reports/Orissa/ ORISSA.pdf
- A Rapid Appraisal on Functioning of Janani Suraksha Yojana In South Orissa http:// www.nihfw.org/pdf/RAHI-I%20Reports/ Berhampur/Berhampur.pdf
- JSY concurrent evaluation, SIHFW, Jaipur http:/ /www.sihfwrajasthan.com/Studies/ Concurrent%20Evaluation%20of%20JSY-II.pdf