ABSTRACT:Since the launch of UIP in the year 1985, it has passed through various changes, modification and introduction of newer initiatives. All these efforts are initiated with a view to increasing the immunization coverage as well as improving the quality of services. To enhance the coverage of routine immunization, it is crucial that quality of immunization services is monitored, gaps in it are identified and addressed. Hence it is tried to assess the quality of immunization service delivery at session sites and to assess the knowledge of the ANM. This analysis is a part of the routine immunization monitoring process done in Goalpara district of Assam during the period from 2009-2012. Results shown here are from 2010-11 and based on data collected through monitoring of 38 session sites. By analysing these data some strong and some weak areas were identified. Strong domains were maintenance of cold chain system, availability of logistics. Other sub areas where practice was found to be good are use of appropriate AD syringes for vaccination and disposable syringes for reconstitution in all session sites, availability of hub cutter with all ANM, vaccine reconstituted just before immunization, use of correct diluent, reconstituted vaccine used within 4 hr, appropriate use of 0.5ml and 0.1ml syringe and correct selection of sites for vaccination. Weak areas observed under injection safety were not using hub cutter immediately after injection in spite of its availability with the ANM hence recapping the needles and another point is touching the needle with finger. In many sessions time of reconstitution was not written on the vial. Record keeping was another area which needs improvement
Introduction: Most of the neonatal deaths are related to three preventable and treatable conditions like complications due to prematurity, asphyxia and infections. Globally birth asphyxia is still a major clinical problem and one of the leading causes of perinatal and neonatal mortality and morbidity especially in developing countries leading to lifelong disability. Neonatal jaundice can also cause damages like impaired vision and hearing along with learning disabilities apart from contributing to neonatal deaths. Therefore, this retrospectiveMethods And Objective: descriptive study was planned with the aim to determine the prole of those neonates who developed asphyxia, hyperbilirubinaemia and expired in NICU of a tertiary care hospital in the Mid North Bank region of Assam. During the study period, out of 622, 204 neonates hadResults: birth/perinatal asphyxia and HIE due to asphyxia and 47 neonates died during the same period. Birth asphyxia accounted for 59.6% of death and 12.8% neonates who died with birth asphyxia also had Serum bilirubin level higher than 10mg/dl.
Introduction: As India endeavours to eliminate TB by 2025, detection of TB cases plays a major role in marching towards that goal. Health seeking delay increases the TB burden as those who remain undetected spreads TB; hence it is essential to describe the pattern of health seeking behaviour and socio-demographic profile of the TB patients. Methods: A community based cross-sectional study conducted among new adult TB patient 18 years and above registered in government health facilities of sonitpur district, Assam. Health seeking delay, the first place of care seeking, Reason for the delay and socio demographic characteristics was collected by a pre tested and structured schedule, entered in MS excel and analysed in epi-info. Results: 54% reported health seeking delay, 42% pharmacy as first place of health seeking and 70% had misperception of TB symptoms to be mild and will resolve by self-medication. Conclusion: More than half of the study participants reported health seeking delay implying a poor knowledge of TB symptoms requiring improvement of health literacy and active involvement of pharmacy workers and traditional medicine healers in TB case detection. Key words: [Tuberculosis, Health seeking, Socio-demography, Assam, Sonitpur]
Background: Tuberculosis (TB) is a communicable disease that is a major cause of ill health and one of the leading causes of death worldwide. Objectives: To determine the effects of alcohol and tobacco on treatment outcomes of newly diagnosed tuberculosis patients. Methodology: Hospital based longitudinal study carried out among the newly diagnosed tuberculosis patients treated with anti-tubercular drugs in different Tuberculosis Units of Kamrup (M), Assam. During the initial 3 months of the study period, participants were enrolled. They were then followed up and their treatment outcomes were noted at the end of 6months from the TB register in, only for those patients with complete information. Tuberculosis was found to be more Results: prevalent among the productive age group. Unsuccessful outcome was more among the elderly. Alcohol and smoking found to be signicantly associated (p<0.05). Un-successful outcome was more among alcohol users and tobacco users. As the disease found to be more am Conclusion: ong the productive age group, proper awareness should be done. Also active implementation of cessation activities for the TB patients should be done, where they should also be made to understand about harmful effects of alcohol and tobacco
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