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Background: About 95% of the country's population resides in malaria endemic areas. The NVBDCP is multifaceted public health programme in the country. The NVBDCP became an integral part of the NRHM launched in 2005. In NRHM, ASHA worker should be placed at grass root level. So role of ASHA is critical at grass root level. Problems faced by ASHA, it will affect the performance. So, ASHA workers positioned at village, Population catered by them, education, work experience, problems related to incentive and any other problems should be considered. The primary objective was to know the problems faced by ASHA workers for malarial services under NVBDCP in Jamnagar district. Methods: A cross-sectional study was conducted in rural areas of the district by using multistage sampling. Results: There was vacant post of ASHA in one village of low performing sub-centre. ASHA having work experience of less than one year was concentrated in poor performing sub-centre villages. More than one third ASHA served > 2000 population and more than half of them belonged to low performing sub centres. Around one sixth ASHA workers had difficulty in getting incentive or any problems. Majority of them belonged to low performing sub centres-villages. Conclusions: Main identified problems were some areas were far to reach by them, getting incentive for work and populations catered by them were too high. Most of them belonged to low performing sub centre-villages. All of above findings had affected the performance of ASHA workers.

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Background: India was the first country in the world to launch a National Family Planning Programme in 1952. It was purely a demographic programme with the sole objective of reducing the birth rate to stabilize the population. As per 2011 census population increased with the growth rate of 17.7%. Thus even after 63 years of programme & many more new advances & updates in programme, India could not reach its target of at least 60% of couple protection rate. So there would be some definite factors prohibiting its use. Methods: A cross section study of 450 reproductive age group women was conducted to find out the factors of unmet need of contraception & socio demographic profile. Results: In present study couple protection rate was 57.11%, majority being permanent sterilization. The selection of contraception was influenced by her husband in 43.24% & by mother-in-law in 62.16%. Conclusions: The study revealed that almost half of the couple population was using the contraception that included temporary as well as permanent methods of contraception.

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<p class="abstract"><strong>Background:</strong> Chronic kidney disease (CKD) describes abnormal kidney function and/or structure. Investigations are focused on assessment of renal function and therefore stage of CKD, identification of the underlying cause and assessment of complications of CKD.Earliest identification of any deviation can help in early intervention &amp; prevention of morbidity &amp; mortality.</p><p class="abstract"><strong>Methods:</strong> 50 patients of CKD admitted at GG Hospital, a tertiary care hospital, Jamnagar during period of 1 year, were included. Data were collected by means of interviewing the patients and serological investigations.  </p><p class="abstract"><strong>Results:</strong> 24% patients had hyperglycemias &amp; 36% patients had impaired glucose tolerance. Almost all biochemical markers were elevated. 86% (43) had High blood urea. All the patients had Serum creatinine level above the normal range for age &amp; sex. 72% (36) patients had hyponatremia &amp; 4% (2) patients had hypernatremia. 22% (11) patients had hypokalemia &amp; 40% (20) patients had hyperkalemia. 38% (19) patients had hypocalcaemia &amp; 6% (3) patients had hypocalcaemia.</p><p><strong>Conclusions:</strong> There must be prescribed protocol for all CRF patients for estimating biochemical profile so that any complication can be identified at earliest &amp; intervened to prevent morbidity &amp; mortality. </p>