Background: Immunization is the effective method of preventing childhood diseases. One of the important elements for improving the immunization is cold chain and vaccine logistics management which are the left and right hands of immunization programme. Keeping this in mind, the present study was done with the objectives a) to ascertain the status of cold chain equipment and logistics management using GOI monitoring format and b) to ascertain the awareness and practice of cold chain handlers about cold chain equipment and logistics management in Durg district of Chhattisgarh, India.Methods: A cross sectional study was conducted among randomly selected 20 cold chain points (CCPs) of Durg district using standard GOI structured questionnaires.Results: Out of 20 cold chain points (CCPs), 20% CCPs, vaccine were found in frozen state. Functional thermometer was available in 75% CCPs, out of which 65% had temperature in the recommended range. Twice daily recording of temperature was found only in 95 % CCPs. Record of power failures and defrosting was noted in temperature log books in 70% CCPs. The correct placement of ice packs inside Deep freezer was observed in only one CCPs. T-series vaccine vials were placed properly in ILR in 85% CCPs. With respect to knowledge on freeze sensitive vaccine and shake test, 74 % and 53% of cold chain handlers had correct knowledge.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain points. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.

Objective: Dysmenorrhea is a condition, in which there is a severe, painful, cramping sensation in the lower abdomen which occurs just before or during the menses. It has a major impact on the quality of life and social and occupational roles of females in the society. It also results in insignificant work, school, and college absences in girls. As previous studies have failed to show a definite relation between dysmenorrhea and body mass index (BMI), the aim of our study was to find out an association between BMI and dysmenorrhea among medical students. Methods:The study was conducted on 200 medical students. Each one was supplied with a questionnaire with detailed menstrual history, family history of dysmenorrhea, and detailed H/O of physical exercise and dietary habits. BMI was calculated by the formula weight in kg/height 2 in meter, and based on the BMI criteria by the World Health Organization, the students were classified into four groups: Underweight, normal, overweight, and obese groups. The data obtained were statistically analyzed by Pearson Chi-square test, and p<0.5 was considered significant.Result: From our study, we found out that there is a positive correlation between dysmenorrhea and low BMI. Conclusion:As there is a positive correlation between BMI and dysmenorrhea, our aim was to educate people about dysmenorrhea and create awareness on diet and dysmenorrhea to assist in improving the quality of life in females.

Background: The practice of open defecation is rampant in India and our country is home to the world’s largest population of people who defecate in the open. Insanitary disposal of human excreta, along with unsafe drinking water and poor hygiene conditions, is a leading cause of morbidity and mortality in low-income countries. The study was conducted with objective to find sanitary latrine usage, prevalence of open air defecation and awareness related to diseases caused by open air defecation in the rural population of a village in Raipur district.Methods: A total of 155 households were selected for the study using simple random sampling technique by lottery method. One member from each household, preferably the head of the family (if not available, any elder person in the family), was interviewed personally. A structured questionnaire was used to collect information regarding the background characteristics, awareness and practices about sanitary latrine usage. Results: Majority of the study participants 109 (70.3%) had sanitary latrines in their houses. The prevalence of open air defecation in the study area was found to be 23.2%. Around 2/3rd (65.2%) of study subjects were not aware about spread of disease due to open air defecation. Conclusions: Awareness regarding spread of diseases due to open air defecation is poor. Effective political commitment and administrative support will be the key points of success of the Swachha Bharat Abhiyaan program.

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Background: Obesity is now an important emerging public health problem in India. It is one of the major risk factor for hypertension. Overweight persons have two to six fold increase in the risk of developing hypertension. This study was carried out with objective to find out prevalence of Hypertension and assess its association with four obesity-related indices- body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR).Methods: A cross-sectional community-based study was done among 640 study subjects of age group 25-59 years during July 2015 to June 2016. Multi stage random sampling method was used. Data collection was done using WHO STEPS instrument V 3.1. Privacy and confidentiality of data was maintained. Data was entered in the Microsoft excel, collected data was checked for its completeness and correctness before data analysis with the help of PSPP software.Results: Prevalence of hypertension among study subjects was found to be 22.19% (142 out of 640).With respect to body mass index, waist circumference, waist hip ratio and waist height ratio, 4.38%, 64.35%, 85.33%, 76.2% were found to be obese respectively. Hypertension was strongly associated with BMI (p<0.001), waist circumference (p<0.001), waist hip ratio (p<0.05), waist height ratio (p<0.05). Out of the four anthropometric variables waist hip ratio (WHR) was most strongly associated with hypertension (β=420.236, p=0.007).Conclusions: The study shows a rising burden of hypertension among study population. As WHR is the best indicator for measuring obesity, so measurement of WHR should be made compulsory in healthy life style clinics along with other parameters.