Tobacco use is a major public health challenge in India with 275 million adults consuming different tobacco products. Government of India has taken various initiatives for tobacco control in the country. Besides enacting comprehensive tobacco control legislation (COTPA, 2003), India was among the first few countries to ratify WHO the Framework Convention on Tobacco Control (WHO FCTC) in 2004. The National Tobacco Control Programme was piloted during the 11 th Five Year Plan which is under implementation in 42 districts of 21 states in the country. The advocacy for tobacco control by the civil society and community led initiatives has acted in synergy with tobacco control policies of the Government. Although different levels of success have been achieved by the states, non prioritization of tobacco control at the sub national level still exists and effective implementation of tobacco control policies remains largely a challenge.

Alendronate reduces pain, improves function and retards AVN progression. Early surgical intervention can be avoided in most patients.

PCD is a better treatment option than PNA for the management of large liver abscesses of size >10 cm, in terms of duration to attain clinical relief and duration for which parenteral antibiotics are needed.

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Background: Double-J (DJ) stents are among the basic and commonly used tools in urology. The DJ stent generally needs to be replaced or removed within 6 weeks to 6 months to avoid complications like encrustations, stone formation, fractures and blockades of stents. However, in many cases the stent is forgotten. In this retrospective study, we report our experience in the management of forgotten stents and steps taken by us in preventing DJ stent-related morbidity. Results: Of the total of 30 patients, 80% (n = 24) underwent previous procedures in other hospitals and the remaining 20% (n = 6) were from our hospital. The mean age of the patients was 56.66 years. The mean duration of the indwelling stent in situ was 13.83 months. The indications of indwelling stents included ureteroscopic lithotripsy, extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy. Presenting complaints for which patients visited hospital were flank pain (n = 10; 33.33%), dysuria (n = 9; 30%), hematuria (n = 3, 10%) and fever (n = 2; 6.66%). Conclusion: Forgotten DJ stents can be a source of severe morbidity. Patients' and relatives' educational level and counseling before and after the procedure may play a significant role in reducing stent-related complications.

Price and expenditure elasticities and estimates of the effect of household demographic variables on Indian food items are estimated using a recent household survey data in rural and urban areas. Using a linear approximate almost ideal demand system (LA/AIDS), the results indicate that for commodity groups (milk and milk products; cereals and pulses; edible oils; meat, fish, and eggs; vegetables and fruits; other foods) demand is elastic only for milk and milk products in both rural and urban areas of India. The impact of demographic variables such as region, household size, education level of household head, and seasonality, was generally significant.

The increase in number of hospitals with functional hospital management information systems has helped to increase efficiency and quality of care, thereby improving healthcare service delivery. However, with the prevalent issues that the Indian healthcare industry is still grappling with, there is a growing need for each citizen's proactive responsibility towards managing his/her health. Moreover, with changes in lifestyle and with increase in the occurrence of cardio vascular diseases and chronic ailments, the patients need to adopt a preventive style of treatment for managing their own personal health. This has led to the emergence of a personal health record (PHR), which is focused on a citizen-centric healthcare system rather than an institution-centric system. This paper highlights mSwasthya, which is a mobile-enabled personal health record management system designed for individuals. The PHR as part of mSwasthya is integrated with various health, wellness and fitness-oriented mobile applications, which the user can install and use them 'onthe-fly' as part of their daily routines to manage their own health.

ObjectiveA rapid survey was carried out in Shaheed Bhagat Singh Nagar District of Punjab state in India to ascertain health seeking behavior and out-of-pocket health expenditures.MethodsUsing multistage cluster sampling design, 1,008 households (28 clusters x 36 households in each cluster) were selected proportionately from urban and rural areas. Households were selected through a house-to-house survey during April and May 2014 whose members had (a) experienced illness in the past 30 days, (b) had illness lasting longer than 30 days, (c) were hospitalized in the past 365 days, or (d) had women who were currently pregnant or experienced childbirth in the past two years. In these selected households, trained investigators, using a tablet computer-based structured questionnaire, enquired about the socio-demographics, nature of illness, source of healthcare, and healthcare and household expenditure. The data was transmitted daily to a central server using wireless communication network. Mean healthcare expenditures were computed for various health conditions. Catastrophic healthcare expenditure was defined as more than 10% of the total annual household expenditure on healthcare. Chi square test for trend was used to compare catastrophic expenditures on hospitalization between households classified into expenditure quartiles.ResultsThe mean monthly household expenditure was 15,029 Indian Rupees (USD 188.2). Nearly 14.2% of the household expenditure was on healthcare. Fever, respiratory tract diseases, gastrointestinal diseases were the common acute illnesses, while heart disease, diabetes mellitus, and respiratory diseases were the more common chronic diseases. Hospitalizations were mainly due to cardiovascular diseases, gastrointestinal problems, and accidents. Only 17%, 18%, 20% and 31% of the healthcare for acute illnesses, chronic illnesses, hospitalizations and childbirth was sought in the government health facilities. Average expenditure in government health facilities was 16.6% less for acute care, 15% less for hospitalization and 50% less for childbirth than in the private healthcare facilities. Out-of-pocket expenditure was mostly on medicines followed by diagnostic and laboratory tests. Among households experiencing hospitalization, 56.5% had incurred catastrophic expenditures, which was significantly higher in the poorest compared to richest household expenditure quartile (p <0.002).ConclusionsExpenditure on healthcare remains high in Punjab state of India. Efforts to increase utilization of the public sector could decrease out-of-pocket healthcare expenditure.