Background: Lack of knowledge and poor personal hygienic practices during menstruation can lead to various gynecological problems in the reproductive life of girls. There is difference in prior awareness about menstruation and menstrual hygiene among rural and urban adolescent girls. Aims & Objective: To study and compare knowledge, attitude and practices of menstruation and menstrual hygiene in rural and urban adolescent girls. Material and Methods: This was a community based cross-sectional study in rural and urban filed practice area of Indira Gandhi government medical college, Nagpur on the 310 adolescent girls in the age group of 10-19 years from each area. Results: Awareness regarding menstruation was more in urban adolescent girls (63.38%) as compared to rural (47.57%). 62.03% of urban girls were using commercially available sanitary pads as compared to 43.4% of rural girls. Conclusion: Awareness regarding menstruation and menstrual hygiene was unsatisfactory in rural area as compared to urban area.

Background: Filaria was identified as one of the diseases to be eliminated globally and its global elimination by the year 2020 has been envisaged by World Health Organization (WHO). A large coverage- compliance gap has been found in many MDA programmes in India. Togo is the first sub-Saharan country to have stopped MDAs after prevalence data suggested that LF transmission had been interrupted. The successful Togo program demonstrates that LF elimination can be achieved in countries with limited resources. This study was undertaken to assess the situation of MDA coverage and compliance in two districts of Maharashtra.Methods: This is a community- based cross sectional study carried out in four selected clusters each in Nagpur and Bhandara districts of Maharashtra. Stratified random sampling is adopted for selection of households. In each district, 120 households are surveyed for the purpose of MDA evaluation every year. The coverage calculated in this article is programme coverage.Results: The coverage found in the year 2011 in Nagpur district was 63%, after which it was consistently rising every year. Similarly in Bhandara district, the coverage found was 70% in the year 2010, after which there was a rise every year. But the actual consumption rate was far less when compared to the coverage reported by the drug distributor, or the medical officer (more than 90% compliance is reported every year). Commonest reason for not consuming the drug was fear of side effects of the drug, which they must have experienced in the previous years activity, or seen other persons having side effects.Conclusions: Gradual increase in compliance of drug consumption over the period of five years in both the districts shows good progress towards the path of elimination.

INTRODUCTIONMaternal health care is important for better maternal, perinatal and infant health outcomes. High maternal and neonatal mortality rates are associated with inadequate and poor quality maternal health care, including antenatal care, skilled attendant at birth and postnatal care. Hence achieving MDG goal on maternal health requires providing high quality pregnancy and delivery care, improving sexual and reproductive health care and universal access to all its aspects.1-3 Antenatal care is recognized as a key maternal service in improving a wide range of health outcomes for women and children. It provides an opportunity to provide interventions for improving maternal nutrition, to encourage skilled attendant at birth and use of facilities for emergency obstetric care. 1,4 In any community, mothers and children constitute a priority group. In India, woman of the child-bearing age (15-44 years) constitute 22.2% and children <15 years of age about 35.3% of the total population. Together they constitute nearly 57.5% of the population.5 Pregnancy and child birth constitute significant events in the life of a woman. In this aspect, care of mother and child occupies a paramount place in our health service delivery system. 'MCH' refers to the promotive, preventive, curative and rehabilitative health care for mothers and children's. ABSTRACTBackground: Maternal health has ever been a serious matter of concern worldwide. In developing countries like India, maternal health care services are not sufficient as per requirement, which ultimately leads to maternal deaths triggering a challenge to achieve improve maternal health (i.e. MDG 5). Therefore the present study has tried to focus on the utilization of ante-natal care services by pregnant women by their demographic and socio economic characteristics. Method: A prospective longitudinal study was conducted on 3rd trimester pregnant women attending antenatal clinic in tertiary care hospital by convenience sampling method over a period of 2 year including 407 women after taking consent using semi structured questionnaire including information of socio demographic profile, antenatal health checkup and later followed up to note mode of delivery. Data was analyzed using MS excel 10.0 and SPSS 20.0 Results: out of total 407 respondents, 78.62% were in the age group of 20-30 years, 10.07% were illiterate, and 71.01% belonged to lower class. Majority (42.01%) were registered in 2nd trimester, 50.89% primipara registered in 1st trimester (p<0.0001). 69.53% and 30.47% had >4 and <4 visits respectively. 83.29% had regular IFA consumption and 100% had inj. TT. 78% delivered by normal vaginal delivery and 22% by LSCS. Conclusion: Ante natal care utilization in the view of early registration and regular visits to health care Centre seems to be very important.

Background: Worldwide, developed and developing countries are facing the double burden of communicable and non-communicable diseases. However, developing countries like India is more exposed and vulnerable due to multitude of factors. Objectives were to study the morbidity patterns of communicable diseases of indoor patients at tertiary care hospital and find out the seasonal distribution of the communicable diseases.Methods: A retrospective study was done over a period of 1 year from April 2016 to March 2017. 4766 admitted patients of communicable diseases were included using universal sampling method. Diagnosis was categorized as per International classification of Disease (ICD) 10 classification. Data was analyzed using spss 16.Results: Out of the total 4766 admitted patients, 62% were females and 38% were males. 56.40% patients admitted in the most productive age group (15-45 years) followed by 14.35% and 8.06% geriatric population and under 5 children respectively. Peak in admission was seen in monsoon season (July to Sept.). 34.54% patients were admitted for bacterial cause followed by 30.03% acute gastroenteritis (AGE). AGE, viral fever, malaria were more commonly seen in female while typhoid, measles, tuberculosis were more commonly seen in male.Conclusions: Many diseases have a seasonal variation and the burden of these diseases could be reduced if we take measures to detect the changes in their trend through the implementation of surveillance programs.

Background Concordance or husband wife agreement on various factors like sleep, substance use, dietary supplement use, and diseases like obesity and hypertension has been extensively studied worldwide. But the data regarding concordance of stress among married couples in India is lacking. Objective The prime objective of this study was to find out proportion of concordance of stress among married couples in Nagpur, Central India. Methods This was a community based cross sectional study conducted in an urban area of Nagpur. 260 couples in whom both husband and wife were of the age 30 years or more were included. Stress among couples was assessed by Presumptive stressful life events scale (PSLES). Results 82.3% concordance of stress was observed. Getting married, birth of daughter, death of close family member, illness of family member, gain of new family member and going on pleasure trip or pilgrimage were most common events reported by both spouses. Pregnancy of wife was the most common event reported by husbands. Four husbands reported death of spouse as a life event. None of the spouses reported extra marital relation of spouse and conflict over dowry as life time events. Conclusions Concordance of stress was very high among couples. This suggests role of shared marital environmental factors, which could affect stress concordance among couples.