Background: In India, 17 per cent or nearly 50,000 of 2.89 lakh women died as result of complication due to pregnancy in 2013. In past decade, many studies have revealed low utilization of health services by different segments of society for varying reasons. This study was conducted to assess the utilization pattern of ANC services by the pregnant women in a rural area. The objectives of the study were to assess the pattern of utilization of ANC services by pregnant and recently delivered women; to study the association between socio-demographic factors and utilization pattern among recently delivered women. Methods: A community based cross-sectional study conducted at the rural health training centre in Kancheepuram district, Tamil Nadu among pregnant women and recently delivered women using pre-designed and pre-tested questionnaire. The entire registered pregnant mothers were included for the study and survey was done through house to house visit and the analysis was done using SPSS 21. Results: Out of 170 study participants, majority 132 (77.6%) of them had their antenatal check-up at primary health centre, 138 (81.2%) have received the IFA tablets and 139 (81.8%) had early antenatal registration. And most of the study participants 108 (63.5%) did not utilize anganwadi for health education and supplementary nutrition. Number of IFA tablets consumption by mothers was significantly associated with literacy and socio-economic status of the mother with p value of 0.03 and 0.002 respectively. Conclusions: Our study results showed that better ANC services utilization pattern in our study area except anganwadi utilization.
Background: There are two kinds living in the world. They are human beings and animals. The human begins of the pre-historic age lived like animals with little knowledge of a system of social advancement. The households in the rural and urban area are facing the difficult situation act spending of fuel consumption. A moderately large amount of the revenue of the households has to be set separately aside for the expenditure on fuel.Methods: This study was a community based cross-sectional study to assess the fuel consumption, 150 households were included in the study.Results: In the study population 75.33% (113) were male and 24.67% (37) were female. Among the study participants 39.33% of the households are using LPG followed by 24% are using firewood were in 20.67% are using electricity and 16% of households are using kerosene. The multiple linear regression analysis were carried out and the results for the coefficient of multiple determination R squared value is 0.420 which implies 42% of the variation in monthly expenditure of fuel due to the variations in the concerned predictor variables.Conclusions: The study could be conducted in a large a scale over a wider area with a more accurate sampling procedure. This would give more information on the relation between the fuel consumption, the need for conservation as related to the different income groups and different educational level of the respondents.
Background: Doctor shopping is defined as the practice of patient seeking multiple health care providers without making efforts to coordinate care or informing physicians of the multiple care givers for the same illness or to procure prescription drugs illicitly. This study was planned to explore the doctor shopping behaviour and its determinants among people with chronic diseases in rural Kancheepuram district, Tamil Nadu.Methods: A cross sectional study was conducted among patients of chronic diseases residing in Sembakkam village, Kancheepuram District, Tamil Nadu. Data was collected using a pre-tested semi-structured schedule adopted from Agarwal et al will be used.Results: Prevalence of doctor shopping was found to be 73.7% among the study population which is visiting more than one doctor for the same diagnosis. The main reason given by the participants for consulting more than one doctor was consistence of the symptoms (34%) followed by location of the health facility (15.9%) and non-acceptance of the diagnosis (15.5%).Conclusions: Patient education, good interpersonal communication skills, and health system strengthening measures can increase responsiveness of the community toward the health systems and thereby reduce doctor shopping behaviour.
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