Background: Among the North eastern states, Assam has the highest burden of tuberculosis. Early diagnosis and prompt treatment is essential for effective control of tuberculosis.Methods: A cross sectional study was conducted among new smear positive tuberculosis cases above 15 years in Kamrup (Metrolpolitan) district of Assam from August 2015 to July 2016.Results: The mean patient delay was 34.2 days and the mean health system delay was 30.34 days. Female gender and patients who made first contact with non-formal health care providers were significantly associated with patient delay while illiteracy and age more than 35 years had significant association with health system delay.Conclusions: Median patient delay was found to be more than median health system delay. As patient delay was significantly associated with non-formal health care providers, the study proposes integration of non-formal health care providers with RNTCP which can reduce the patient delay.
Context/Background: Adolescent period is a stage of transition from childhood to adulthood when the maximum amount of physical,
psychological and behavioural changes takes place. Adolescents continue to suffer from an array of morbidities like iron deciency anaemia,
menstrual problems, malnutrition etc. Aims/Objectives: To estimate the morbidity prole and to determine the association of socio-demographic
risk factors with morbidity prole among adolescent girls in urban slums of Guwahati city. Methodology: This descriptive cross-sectional study
was conducted among adolescent girls residing in the urban slums of Guwahati city. Atotal of 400 adolescent girls participated in the study after due
inclusion and exclusion criteria. Data was collected using a pre-tested and pre-designed interview schedule and results were analyzed using SPSS
package (version 23). Results: The proportion of adolescent girls with morbidity was found to be 78.5%. Among the various morbidities, anaemia
(41.2%) and menstrual disorders (40.8%). A signicant association between socioeconomic factors and morbidity was seen. Conclusions:
Preventable morbidities like anaemia continue to be a burden among this sub-group of the general population and socioeconomic factor was found
to play a contributory role. Thus, primordial interventions like sensitization and health education must be strengthened so that these health
problems can be reduced
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