Background: In India, routine reporting of health status by the health and social welfare functionaries is suboptimal. Surveys to assess the health status and living conditions of population are essential to monitor the ongoing health problems and initiate appropriate intervention. Through community diagnosis and health survey students are more exposed to various disease patterns in the community, which creates better prospect to practical learning. Material & Methods: A community diagnosis survey was done in urban field practice area by the department of Community Medicine, Deccan College of Medical Sciences, Hyderabad. A group of 4 students were given 25 families each, for a total of 100 families to survey their health status and socio-demographic factors. Information was collected related to their present health status, socioeconomic status, housing pattern, sanitation measure, and immunization status of under five children etc. Data was analyzed by appropriate tools. Results: In this survey 96% were Muslim families. Nuclear families were 81%. Majority i.e. 40% of the families belongs to class II and overcrowding was present in 28% of families. In these 100 family total population was 492 individuals. 8% of study population was under five years of age and nearly 4% was geriatric above 60 years of age. Female were more (50.6%) than male (49.4%). Crude literacy rate in study population was 78%. Prevalence of morbidity was 13.4%. Common morbidity was hypertension, diabetes and joints pain. 82% were fully vaccinated, 16% were partially vaccinated and 2% were unvaccinated. Conclusion: Through family health survey health need of community can be identified and medical students can also be sensitized to function as community physician.
Introduction: The Aetio-pathogenesis and risky behaviour determinants start early in adolescent period for the development of hypertension which poses a major public health problem with serious complications. These are amenable for prevention and therefore this study was taken up to determine prevalence and determinants of Pre hypertension and hypertension among high school adolescents.Materials and methods: A school based cross sectional study was carried out among adolescents studying in a schools attached to urban health training centre of Deccan college of Medical Sciences, Hyderabad. All the students from seventh class to tenth class consisting of 404 students were included. A semi structured questionnaire schedule was used based on Global school based student health survey questionnaire module; Anthropometry and blood pressure measurement was done by trained team using standardised procedures. Data was entered in Microsoft Excel 2007 and analysed. Frequency, mean, standard deviation and Chi square were done wherever required. Z scores were calculated using WHO Anthro-plus.Results: Out of total 404 students-boys accounted to 162(40.1%) and girls 242(59.9%). Prevalence of Pre Hypertension was 49(12%) and Hypertension was 52(13%) respectively. Mean age was 13.46+1.28 years; mean systolic blood pressure was 112.99+11.18 and mean diastolic blood pressure was 70.84+10.74 mm of Hg. Gender and junk food intake were the significant risk factors of Pre hypertension and Hypertension among adolescents. Conclusion: In this study behavioural determinants play a major role and these are amenable for prevention.
Background: Maternal and child mortality is the outcome of multiple factors. Current maternal mortality in India is 254 per 100,000 live births. Improving the maternal and child health is an important public health goal of government of India. To prevent unwanted outcome of pregnancy, antenatal care (ANC) is most important method for early detection and prompt treatment of complications. Methods: A cross sectional study was conducted among pregnant women attending ANC clinic at urban health centre during September 2015 to November 2015. A pre tested semi-structured questionnaire was used for data collection. Data was collected from 102 pregnant women attained ANC clinic during study period. The data was compiled and analyzed using appropriate statistical tools. Results: In present study majority (46%) of pregnant ladies belong to 20-25 years of age group and 26% had consanguinous marriage. In our study gravida 3, gravida 4 and gravid 5 were 29%, 12% and 5% respectively. 52 % of pregnant ladies had 3 ANC visit, almost 62% of pregnant ladies had done haemoglobin examination and 57% blood grouping testing. Pregnancy outcome were live birth in 82.66 % and abortion in 16.69%. 41% were previous LSCS and 9% were home delivery. In this study we found that high risk pregnancy were 59.8% and main reason of being high risk were previous LSCS (52%), anaemia (40%). Conclusions: High quality antenatal care as well as knowledge and practice of community regarding maternal care during pregnancy are important to unwanted outcome of pregnancy.
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