Background: Pneumonia is a severe form of acute lower respiratory infection responsible for high preventable morbidities and mortality amongst under five year child. Many risk factors and barriers for care seeking influencing the prevalence of ARI and pneumonia. Methods: A community based cross sectional study was undertaken in two slums of Dibrugarh town that were randomly selected. Subject: Selection was done by probability proportionate to size technique. A total of 624 children were examined by house to house visit. Results: Prevalence of pneumonia was 16.34%. Socio economic status (p = 0.005), education of mothers (p = 0.000), timely initiation of complementary feeding (p = 0.006), complete immunization (p = 0.000) and indoor air pollution (p = 0.000), were significantly associated with occurrence of pneumonia. In multivariate analysis, pneumonia is significantly associated with indoor air pollution. Conclusion: High prevalence of pneumonia and its association with different preventable risk factors needs to be addressed. Different community based intervention can be implemented to reduce this preventable morbidities.

Background-IMNCI offers a strategy for improving the state of health of children in India. This approach could help the country in achieving the MDG Goals of reducing the under-five mortality. Objectives-To assess and compare the knowledge and skills of IMNCI service providers at peripheral level and effect of monitoring and supervision. Methods-A baseline cross sectional study to compare the activity of frontline workers of both health and ICDS sector and then follow up to assess the effect of monitoring and supervision in a subgroup. Results and Conclusion-IMNCI is found effective in improving knowledge, skill, accuracy in assessment, classification, treatment and counselling amongst both health and ICDS sector. Assessment by ANM and AWW for bacterial infection shows highly significant difference in 0-2 month, assessment of immunization and other problems also showing significant difference, but no significant difference is found in assessment of diarrhoea and breast feeding(p<0.05.). Monitoring and supervision; showing significant improvement in implementation of IMNCI in the district (p<0.05.).

Introduction: Pneumonia, leading cause of child morbidity and mortality globally, which is concerning as proven interventions exist. Objective: to assess effect of community based interventions on occurrence of pneumonia in slums of Dibrugarh town. Methods: Community based before- after intervention study using mixed method between 2015-2017; where quantitative part by using predesigned format filled by house to house visit done in baseline and endline and qualitative by focus group discussion conducted during end line study. Social and behavior change communication package was given as intervention. Results: A total of 420 in baseline and 300 participants enrolled in end line study. Pneumonia prevalence reduced from 16.9% to 9.3% following intervention. Exclusive breast feeding and complimentary feeding initiation at 6 month significantly increased from 42.9% to 60% and 9.8% to 77.7% respectively. Type of family, socio economic status, mother’s education, complementary feeding practices, immunization and indoor air pollution were significantly associated with pneumonia. Conclusion: Implementation of community based social and behavior change communication package was effective.

RESEARCH QUESTION:What is the extent of use of family planning practices and what are the factors influencing the methods of contraception? OBJECTIVE: To find out the distribution of family planning practices with respect to literacy, age and reasons for not practicing any method. STUDY DESIGN: Community Based Cross sectional study. MATERIALS & METHODS:Multistage sampling technique was used to select the sample. Villages were selected by stratifying them according to the presence of tribal and non tribal population. Thereafter the tribal dominated villages were selected at random and house to house visit was made. A total of 303 married women in the age group of 15-45 years living with their spouses were interviewed using a pre designed questionnaire. Chi square test was used for the analysis. Results: Couple Protection Rate is 29.7%. Acceptance of family planning methods is associated with education of husbands and increase in age of wives. Conclusion: Family planning practices is observed to be poor amongst the tribals and therefore motivation of the couples is to be stepped up.