Background: Of all work settings, hospitals carry the greatest risk of verbal abuse and threats, with 73% of staff on medical premises suffering abuse. The scenario in Indian subcontinent is also not so bright. Doctors are frequently assaulted in India as well where doctors are shot, even stabbed. Thus this study was undertaken to know the exact prevalence of such incidences in Paithan taluka of Aurangabad district. Methods: A community based cross-sectional study was done in the Paithan taluka of Aurangabad district in Maharashtra from October 2015 to December 2015. All the doctors in the urban as well as rural areas of Paithan were interviewed to know their experiences about episodes of workplace violence (WPV) during last 12 months as well as their lifetime experiences. Some of the factors associated with the WPV were also asked along with the perceived reasons for such type of incidences. Results: The prevalence of workplace violence in the last 12 months was found to be 63.41%, whereas the lifetime prevalence was found to be 78.05%. It was observed that 21.95% of the doctors were demanded for extortion money and 11.27% experienced intentional destruction of their hospital property. Workplace violence was seen to be significantly more associated with younger doctors, highly educated doctors, doctors in government service and doctors with comparatively lesser practice experience. Lack of communication was perceived by the doctors as the most common reason for these incidences.Conclusions: Workplace violence is emerging as a bane to the medical profession and has to be dealt with urgently. Poor communication with patients along with other factors should be dealt with to mitigate this problem.

Background: Immunization is one of the most effective, safest and efficient public health interventions. Despite the concrete efforts of government and other health agencies, a large proportion of vulnerable infants and children in India remain unimmunized. In order to improve immunization coverage, factors such as knowledge, attitude and practices of parents/caretakers are known to contribute to success or failure of immunization program. The aim of present study is to assess the knowledge and practice of mothers with respect to immunization completeness of their child.Methods: This is a descriptive cross sectional study involving 364 mothers attending immunization OPD in Government Medical College, Aurangabad, Maharashtra, India during month of September till December 2015.Results: 78.5% children were completely immunized as per date. 57.97% of the study population was found to have adequate knowledge-practice scores. A significant association of immunization completeness with KP scores of mothers (p<0.05) was found.Conclusions: Future efforts are required to improve immunization rate and parents' knowledge and practice.

Obesity is one of the most important public health problems of global significance. 1 The worldwide prevalence of obesity nearly doubled between 1980 and 2014. In 2014, 39% of adults aged 18 years and older were overweight and 11% of men and 15% of women worldwide were obese. Thus, about 2 billion people are overweight and more than half a billion adults worldwide are obese. 2,3 Overweight and obesity are estimated to account for 3.4 million deaths per year and 93.6 million DALYs. 4 India, with 1.2 billion people is the second most populous country in the world and is currently experiencing rapid epidemiological transition. There is rising prevalence of obesity in India. 5-8 The percentage of overweight and obesity increased from 11% in national family health survey (NFHS-2) to 15% in NFHS-3 and more than thrice in urban areas. This may be due to increasing ABSTRACT Background: India is currently experiencing rapid epidemiological transition with rising prevalence of obesity which may be due to increasing adoption of sedentary lifestyle and changing dietary pattern of the urban population. Certain occupations predispose individuals to sedentary lifestyles and some of these are white collar jobs characterized by sitting for long periods of time like financial institutions (banks). The aim and objectives of the study was to know the prevalence of obesity in bank employees and to study associated socioeconomic factors. Methods: A population based cross sectional study was conducted. Banks were listed according to sectors i.e. government, cooperative and private. The banks were selected randomly from these three sectors using stratified proportionate random sampling technique. The study participants were interviewed by the investigator with the help of predesigned proforma which included information about demographic & socioeconomic data, medical and family history, clinical examination, and anthropometric measurements (height, weight, waist and hip circumference). Results: According to BMI classification for Asian population, 47.9% and 29.6% bank employees were found to be overweight and obese (GO) respectively. Whereas 65.0% bank employees had obesity by waist-hip ratio and only 6.25% bank employees had isolated generalized obesity. Overall 17.95% bank employees had isolated abdominal obesity and 44.6% bank employees had combined obesity. Conclusions: The prevalence of generalized as well abdominal obesity was very high among bank employees. The associated risk factors which were found to be significant were age, female gender, higher socioeconomic status, and higher employees' posts.

Background: Maternal health reflects the overall effectiveness of the health system of any country. One strategy for reducing maternal mortality and morbidity is ensuring that every baby is delivered in an institution. Government of India has launched various health schemes under the umbrella of National Rural Health Mission (NRHM) to promote institutional deliveries. Thus this study was conducted to study the changing trends in place of delivery in rural women in relation to NRHM.Methods: A community based cross-sectional study was conducted in the field practice area of rural health training center (RHTC), Paithan, Dist. Aurangabad during the period of 1st October 2015 to 31st March 2016. All the villages under two sub-centers of one PHC under the RHTC were selected for the study. All women above 18 years of age who delivered at least once between 1st January 2001 to 31st December 2015, were interviewed for their place of delivery.Results: Institutional deliveries increased from 47.06% to 93.65% in 2001 to 2015. The odds for institutional deliveries in the post NRHM period were seen to vary in the 1st 5 years of NRHM and the next 5 years. In 2006-10, odds of institutional deliveries were 2.44 times more, whereas in 2011-15 the odds were 8.99 times more than the pre-NRHM period. The overall odds of institutional delivery in the post-NRHM period were 4.1 times more than the pre-NRHM period.Conclusions: Increasing trends of institutional deliveries and decreasing trends of home deliveries was observed from 2001 to 2015. Increase in deliveries was seen in both government as well as private hospitals. Institutional deliveries have increased rapidly since the implementation of NRHM with 4.1 times more chance of institutional deliveries in the post-NRHM period.

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