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   1994| July-December  | Volume 19 | Issue 2  
    Online since September 7, 2009

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Adoption Of Small Family Norms In A Rural Community Of West Bengal
A.K Biswas, A Roy, R Biswas
July-December 1994, 19(2):68-71
Research Questions: 1. To what extent do rural eligible couples accept the small family norm? 2. What are the factors which influence the adoption of small family norm by these couples? Objectives: 1. To determine the extent of adoption of small norm among family planning service acceptors (2) To identify factors influencing adoption of small family norm. Study Design: Cross sectional Study Setting: 2 villages- a PHC village and one 5 kms away of Block Sonarpur. Participants: 312 eligible couples of these villages. Study Variables: Socio – economics status, literacy of the wives, type of family, religion, number of children, type of family planning method. Outcome Variables: Prevalence of contraceptive method use, reasons for not using family planning methods. Statistical Analysis: Proportions Results : The prevalence of contraceptive use was 44.9% but the Effective Couple Protection Rate was only 20.5% and the Crude Birth Rate was still high (35/1000). This was because 40% of the couples had more then 2 children and of them 38% were still exposed to the risk of conception. Muslim couples had a lower contraceptive acceptance rate than Hindu couples. The more literate the wife, the greater the acceptance of the small family norm. Male preference pressure from elders and fear about contraception were the main reasons for non acceptance of family planning methods: The health teams were the main source of information to these couples. Recommendations: There is an urgent need to increase the emphasis on the 2 child family norm. The IEC activities of the health team should be strengthened.
[ABSTRACT]   Full text not available  [PDF]
  1,107 186 -
A Micro Level Evaluation of Vitamin -A Prophylaxis Programme
J.K Das, I Murali
July-December 1994, 19(2):50-56
Research Question : what is the extent of Vit A Coverage of Pre-school children in a PHC? 2. What is the impact of the programme on the prevalence of vit. A deficiency? Objective: 1. To conduct a micro level evaluation of Vit. A prophylaxis programme within a selected area of a PHC in term of : (a) programme performances (b) impact on the prevalence of Vit A deficiency. Study Design: Cross sectional Setting: Selected subcentres of PHC Dankaur . Bulandshahr District, U.P. Participants: Pre – school children. Sample size : 986 pre school children from 714 households Study Variables: age, doses of Vit- A received. Outcome variables: Extent of coverage Vit-A deficiency signs. Statistical Analysis: Proportions , Regression coefficient, Analysis of Variance. Results: The reported achievement of Vit A prophyxis was 100%. How ever, the actual coverage was 9.8% and none of these had received appropriate doses for their ages. The prevalence of Bitot spot was 5.1% with a statistically significant increase with increasing Age. Medical and para medical personnel were inadequately informed about the Vit A prophylaxis programme and the supply of Vit A had been irregular. Recommendations: Adequate and correct information should be given to all health workers regarding age of children beneficiaries for Vit A, number and interval between doses. Realistic targets should be set which should take into account the actual number of beneficiaries in the community. Vit A supply should be regular and monitoring of the programme should be done at frequent intervals.
[ABSTRACT]   Full text not available  [PDF]
  810 123 -
Bio- Social Determinants Of Birth Weight In Rural Urban Nagpur
U.H Gawande, M.S Pimpalgaonkar, S.H Bethariya
July-December 1994, 19(2):64-67
Research Questions: What are the bio – social determinants of birth weight of babies born in an urban- rural area? Objectives: 1. To study the biosocial determinants of birth weight 2. To determine which of the these affects birth weight. Design : Cross- sectional study. Setting : General hospital in Nagpur Participants: Mothers and their babies who were delivered in hospital. Study Variables : Mother’s age, parity, inter- pregnancy interval, socio-economic status, literacy status, antenatal care. Outcome Variable: Birth weight of the Infant. Statistical Analysis: Chi square test. Results: The proportion of low birth weight babies was high in teenage mothers(41.9%) and those over the age of 30 years. Primi and grand multiparity were associated with higher prevalence of low birth weight babies (43.2% & 43.9% respectively). Interpregnancy interval of less than one and a half years had a high prevalence of LBW babies (44.7%) but an interval of 5 years was also a risk as there were other associated risk factors like secondary sterility, tuberculosis etc. Low socio-economic status and low literacy levels were associated with significant proportion of LBW babies. Those mothers who had received adequate antenatal care gave birth to a significantly lower proportion of LBW babies than those who has not received antenatal care. Conclusion: Birthweight is determined by biosocial factors which are recognisable and some of which can be controlled.
[ABSTRACT]   Full text not available  [PDF]
  638 208 -
The Measurement of Performance skills of Primary Maternal Child Health Workers - An Indian Experiment
N Mohanty, S.C Mohapatra, P Srivastava, J.N.P Gupta
July-December 1994, 19(2):59-63
Research Questions: 1. What are the cognitive and psychomotor levels of Anganwadi Workers (AWW) regarding important aspects of maternal and child health? 2. Can these skills be improved by training with a self learning communication module? Objectives: (i) Identify and evaluate the level of intellectual and practical skills acquired by the AWWs on some areas of primary. health care like : detection of low birth weight (LBW) babies, weight of the baby, measurement of body temperature by thermometer, identification of diarrhoea and preparation of ORS, detection of high risk cases and referral. (ii) Develop and test a self learning communication module capable of improving the psychomotor domains involved in provision of care. (iii) Measure the improvement in the knowledge and specific skill components of the AWWs with the self learning communication module. Design : Intervention study. Setting : Integrated Child Development Scheme Blocks of Varanasi District. Participants : Anganwadi workers belonging to two ICDS Blocks, one was the intervention group and the control group. Study Variable : Self learning communication module. Outcome Variable : Improvement in the cognitive and psychomotor skills of those workers who were administered the module in comparison with the control group. Statistical Analysis : Students ‘t’ test and paired ‘t’ test. Results: There was a significant improvement (p less than 0.001) in the performance skills between the intervention and the control groups. Conclusion: The training modules was effective in improving the overall performance of the workers. However, repeated inservice training is essential to maintain the levels of improvement.
[ABSTRACT]   Full text not available  [PDF]
  488 105 -
An Explosive Cholera Outbreak In A Rural Community of Gujarat State
P.G Sengupta, S.P De.
July-December 1994, 19(2):57-58
Research Question : What are the epidemiological features of an el Tor biotype of V. cholerae outbreak? Objective : To describe the epidemiological features of a cholera outbreak. Design: Epidemic investigation. Setting : Rural area near Baroda city. Participants : Residents of the village hamlet. Results : The overall attack rate among 248 people was 13.3% and was highest (26.9%) in the 0-4 years age group. All the patients, except one who died at home, had to be hospitalized for treatment . V. Cholerae biotype el Tor serotype Inaba and phage type IV could be isolated from 62.5% of the cases. Some pathogens could be isolated in pure culture from the open well water which was the only source of drinking water for the hamlet.
[ABSTRACT]   Full text not available  [PDF]
  431 73 -
Supervised Group Discussion To Teach Investigation Of An Epidemic
M.B Soudarssanane, S.B Rotti, V. Santosh Kumar, D.K Srinivasa
July-December 1994, 19(2):72-73
The topic of investigation of an epidemic was taught to three successive batches of medical students using the data of an actual local outbreak of gastro – enteritis. The method used was supervised group discussion using audio – visual aids. The objectives achieved about the conduct of the sessions and the suggestions given by the students for improvement have also been highlighted.
[ABSTRACT]   Full text not available  [PDF]
  409 51 -
Teaching & Training On National Malaria Eradication Programme
Sunder Lal
July-December 1994, 19(2):47-49
Full text not available  [PDF]
  321 68 -
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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007