Vaginal microbicides currently under development are substances that may prevent the transmission of HIV. Qualitative, in-depth post-trial interview data from a Phase III clinical trial of 6% Cellulose Sulfate microbicide gel in two sites in Africa (Uganda and Benin) and two in India (Chennai and Bagalkot) were examined in order to better understand factors that influence microbicide acceptability and adherence in a clinical trial setting. Women found the gel relatively easy to use with partners with whom there were no expectations of fidelity, in situations where they had access to private space and at times when they were expecting to engage in sexual intercourse. Adherence to gel seemed significantly more difficult with primary partners due to decreased perceptions of risk, inconvenience or fear of partner disapproval. Findings suggest that women in a variety of settings may find a microbicide gel to be highly acceptable for its lubricant qualities and protective benefits but that adherence and consistent use may depend greatly on contextual and partner-related factors. These findings have important implications for future trial designs, predicting determinants of microbicide use and acceptability and marketing and educational efforts should a safe and efficacious microbicide be found.
Abstract:In transnational families, it is often the older adults who are left-behind or choose to stay behind. Currently the population aged 60 years and older in India constitutes over 7 percent of the total population (1.25 billion) and is projected to triple in the next four decades. In the past family has been the major source of support in later life. One of the consequences of increased mobility is the decreasing role of family in care provision. The Indian middle-class norms on higher education, which stressed on engineering and medicine, have resulted in professionally educated children leaving the parental home to seek work and thus family life in other geographical locations. In this paper we examine how transregional and transnational mobilities and the resulting absences impact the lives of older adults. We draw upon 37 in-depth interviews conducted in Dharwad district of Karnataka, India. The results show that older adults employ two strategies of rationalizing absence and compensating absence of migrant children. These strategies reflect the resilience of the older adults to make sense of this trans-local family life, that in a previous generation they were not aware of.
persons are died due to the animal bites and stings in India. Conclusion: Our findings significantly contributes in the policy making at the administrative level including district level, state level and eventually to the nation.
Introduction
Government of Goa initiated
ST Elevation Myocardial Infarction
(STEMI)
– Goa project for achieving the objectives of Ayushman Bharat and Sustainable Development Goals to reduce the premature mortality from non-communicable diseases by one-third with adopting advanced health practices and modern technology. The project handles the escalating STEMI cases in Goa since December 2018.
Methods
Mix-method was used for data collection in this study and service statistics was collected from the hub and spoke hospitals. Additionally, staff engaged in the implementation of STEMI model were interviewed. We have visited 13 public health facilities including Goa Medical College where the
‘
Hub-and-Spoke’ model of STEMI has institutionalized. The data was collected during October 2019 by employing the pre-designed checklist.
Results
All patients who reached the hub-hospital undergone with angiography followed by angioplasty if required. Since the initiation of the project total of 546 patients were diagnosed with the STEMI and 85 percent of patients admitted with a STEMI were thrombolized, – subsequently, 64 percent of them undergone for angiography. Considering the mortality, around 6 percent of deaths have occurred during the past six months. Our study highlights the positive effect of the Hub-and-Spoke model on the treatment of patients with STEMI. The hub-and-spoke model is functioning effectively under the continuous monitoring of expert cardiologists. Additionally, the model has a review committee to investigate deceased cases, advanced cardiac care ambulances and modern ECGs technology.
Conclusion
The model can be implemented at a larger scale in other parts of India with the required human resource and advanced technology.
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